Parish Registration Form

New Registration Updating Existing Registration

Family Last Name ***	Please enter a last name.
Street ***	Please enter street information.
Street 2
City ***	Please enter a city.
State ***	Please enter a state abbreviation.Invalid format.
Zip Code ***	Please enter a 5 digit zip code. Please enter a 5 digit numeric zip code.

My Information

First Name *** Please enter your first name.	Middle Name	Last Name *** Please enter your last name.
Date of Birth (mm/dd/yyyy) *** Please enter your date of birth.	Place of Birth
Home Phone *** Please enter your primary phone number.	Cell Phone
Personal Email Please enter a valid email address.
Demographic Information
Occupation	Place of Employment	Job Status
Highest Level of Education	Health
Ethnicity	Religion	Attendance

Father's Full Name	Mother's Full Maiden Name

Sacraments

Marital Information

My Spouse

First Name	Middle Name	Last Name
Date of Birth (mm/dd/yyyy)	Place of Birth
Home Phone	Cell Phone
Personal Email Please enter a valid email address.

Demographic Information

Sacraments

Child 1

First Name	Middle Name	Last Name
Date of Birth (mm/dd/yyyy)	Place of Birth
Cell Phone	Email Please enter a valid email address.	Please DO NOT contact my child directly via email, phone texting or phone calls using the provided contact information.

Demographic Information

Health

Ethinicity

Religion

Sacraments

Child 2

First Name	Middle Name	Last Name
Date of Birth (mm/dd/yyyy)	Place of Birth
Cell Phone	Email Please enter a valid email address.	Please DO NOT contact my child directly via email, phone texting or phone calls using the provided contact information.

Demographic Information

Health

Ethinicity

Religion

Sacraments

Child 3

First Name	Middle Name	Last Name
Date of Birth (mm/dd/yyyy)	Place of Birth
Cell Phone	Email Please enter a valid email address.	Please DO NOT contact my child directly via email, phone texting or phone calls using the provided contact information.

Demographic Information

Health

Ethinicity

Religion

Sacraments

Child 4

First Name	Middle Name	Last Name
Date of Birth (mm/dd/yyyy)	Place of Birth
Cell Phone	Email Please enter a valid email address.	Please DO NOT contact my child directly via email, phone texting or phone calls using the provided contact information.

Demographic Information

Health

Ethinicity

Religion

Sacraments

Would you like to become involved in parish life? If so, check all areas of interest.

11:00 AM Music Ministry	Senior's Club	Leisure Club
9:00 AM Music Ministry	Communion Service Leaders	Liturgical Art and Enviroment
7:00 PM Music Ministry	Confirmation Preparation Program	Liturgical Ministry Coordinators
Accessibility & Inclusion	Cornerstone Retreat Programs	Marriage Mentoring Program
Altar Linen Committee	Elementary Faith Formation Program ( Kindergarten - 8th Grade)	Marriage Partners
Altar Servers	Eucharistic Devotion and Adoration	Marriage Preparation Programs
Baptism Preparation Program	Eucharistic Ministers at Mass	Men's Prayer Groups
Men's Basketball	Eucharistic Ministers to the Sick	Misa De Gallo
Bereavement Ministry	Fair Trade	Moms Ministry
Bingo	Faith and Justice Committee	Parish Finance Council
Book Club	First Eucharist Preparation Program	Parish Pastoral Council
Cantors and Psalmists	First Penance Preparation Program	Parish Welcoming Committee
Caring for the Caregiver	Giving Tree	Prayer Shawl Ministry
Catch the Spirit	Grief Support Groups	RCIA
Catechists	Helping Hands	Respect Life Ministry
Cathedral Kitchen	Hospital and Nursing Home Visitation	Softball
Young Adult Group (age 18-35)	Just Faith and Beyond Just Faith	Tuesday Morning Bible Sharing
Cherry Hill Food Pantry	Knights of Celestine Association	Ushers
Children's Choir	Knights of Columbus	Vacation Bible School
Children's Liturgy of the Word	Lectors	Youth Ministry (Highschool).
Children's Sunday Nursery	Legion of Mary	Adult Faith Formation (age 35+)
Prayer Group