Registration

PARISH REGISTRATION FORM

Welcome to the Saint Aloysius Parish
 
PERSONAL INFORMATION (This information is private)

ADULT #1 (Head of Household)

Name (first, middle initial, last):___________________________________________________ Maiden (if applicable): ________________________

Street Address: _______________________________________________________________ Apt. #: _____ P.O. Box #:_________

City: __________________ ZIP CODE: _____________

E: Mail: __________________________Phone: (Home) _______________ (Cell) ___________

Marital Status: Single/Married/Divorced/Widowed (To whom): __________________________

Date of Birth: ____/_____/_____ Place of Birth: __________________

Ethnic Background: __________________ Religion: ________________

Check the Sacraments Received: Baptism_____ Communion____ Confirmation_____

Occupation: ________________________________ Work Phone: __________

Alum of St. Aloysius Grade School (Year ________)

Areas of Interest, Skills & Talents: ________________________________________________

Are you interested in ACH (Electronic Debt Authorization) for automatic deductions for your parish contributions?  Y____N_____
 
ADULT #2 (living at same address)

Name (first, middle initial, last):___________________________________________________ Maiden (if applicable): ________________________

E: Mail: ________________________________Phone: (Home) __________ (Cell) __________

Marital Status: Single/Married/Divorced/Widowed (To whom) :_________________________)

Date of Birth: ____/_____/_____ Place of Birth: __________________

Ethnic Background: ________________ Religion: __________________

Check the Sacraments Received: Baptism___ Communion_____ Confirmation_____
Occupation: ____________________________________ Work Phone: ______________.

Alum of St. Aloysius Grade School (Year ____)

Areas of Interest, Skills & Talents: ______________________________________________
 
Children (Living at this Address)

Name:________________________________________________________________
Birthday: __________ Baptism: ___________ Location:__________________________
Confirmation: _______Location:____________________________________________
 
Name: ________________________________________________________________
Birthday: __________ Baptism: _________ Location: ____________________________
Confirmation: _______Location:_____________________________________________
 
Name: ________________________________________________________________
Birthday: __________ Baptism: _______ Location: ______________________________
Confirmation: _______Location:_____________________________________________
 
Name: ________________________________________________________________
Birthday: __________ Baptism: _________ Location: ____________________________
Confirmation: _______Location:_____________________________________________

Please mail or present this completed form to the Parish Office. Thank you.