Family Registration Form

Welcome to Church of the Redeemer Catholic Church. Please complete this form to register your household in our Parish.

 

When you submit this form, all of the information will be sent by e-mail to Church of the Redeemer.


* Required fields
Head of Household
Title * First Name * Last Name Suffix
Birth Date:   * Gender:  Female  Male

Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
Spouse
Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male

Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
Address
* Line 1
   Line 2
* City
* State
* ZIP
   E-Mail
Send E-Mail Instead of Mail When Possible
Phone
* Primary ( ) - Unlisted
   Other ( ) - Unlisted
 

Member 2 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
 

Member 3 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
 

Member 4 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
 

Member 5 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage
 

Member 6 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
First Comm
Confirm
Marriage

When you submit this form, all of the information will be sent by e-mail to Church of the Redeemer.