New Parishioner Form Head of Household Name (Full Name) Address City Zip Home Phone Business Phone Cell Phone Email Marital Status Single Divorced Widowed Married Marriage Date Baptized Catholic? Yes No First Communion? Yes No Confirmed? Yes No Catholic Marriage? Yes No If not Catholic - Religion Date of Birth Occupation Spouse's Name (Full Name) Business Phone Cell Phone Email Baptized Catholic? Yes No First Communion? Yes No Confirmed? Yes No If not Catholic - Religion Date of Birth Occupation 1st Child's Name Gender Male Female Date of Birth Grade Catholic? Yes No If Not Catholic - Specify Catholic Baptism? Yes No First Communion? Yes No Confirmed? Yes No Enrolled in R.E . Classes? Yes No Enrolled in Rosary School? Yes No 2nd Child's Name Gender Male Female Date of Birth Grade Catholic? Yes No If Not Catholic - Specify Catholic Baptism? Yes No First Communion? Yes No Confirmed? Yes No Enrolled in R.E. Classes? Yes No Enrolled in Rosary School? Yes No 3rd Child's Name Gender Male Female Date of Birth Grade Catholic? Yes No If Not Catholic - Specify Catholic Baptism? Yes No First Communion? Yes No Confirmed? Yes No Enrolled in R.E. Classes? Yes No Enrolled in Rosary School? Yes No 4th Child's Name Gender Male Female Date of Birth Grade Catholic? Yes No If Not Catholic - Specify Catholic Baptism? Yes No First Communion? Yes No Confirmed? Yes No Enrolled in R.E. Classes? Yes No Enrolled in Rosary School? Yes No Please type the letters and numbers shown in the image. Click the image to see another captcha.