Registration

Registration Type REQUIRED

If you are registering for the first time, select New. If you are updating an existing registration, select Update and supply your envelope number, if known.

New Update Please fill out this field.

Envelope Number (for registration update)

If you are updating an existing registration, please provide your current envelope number, if known. Otherwise, leave blank.

Please enter an integer (number) from 0 to 10000.

Family Name REQUIRED

Enter last name only

Please fill out this field. Please enter valid data.

Address Line 1 REQUIRED Please fill out this field. Please enter valid data.

Address Line 2 Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Telephones REQUIRED
You can supply up to 4 phone numbers. Enter the number here.
Please fill out this field.
Phone 1
- Phone Type REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Phone 2
- Phone Type REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Phone 3
- Phone Type REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Phone 4
- Phone Type REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Preferred Method of Emergency Contact REQUIRED Please fill out this field.

Head of Household

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Baptism REQUIRED Yes No Please fill out this field.
First Communion REQUIRED Yes No Please fill out this field.
Confirmation REQUIRED Yes No Please fill out this field.

Spouse

Were you married by a priest? REQUIRED Yes No Please fill out this field.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Baptism REQUIRED Yes No Please fill out this field.
First Communion REQUIRED Yes No Please fill out this field.
Confirmation REQUIRED Yes No Please fill out this field.

Additional information for the Pastor

Christ Our Savior Parish

"Love Grows Here"

Registration