New Parishioner Registration

Welcome! We are glad to have you join our area faith community.
We will enter your registration and contact you via email to confirm that we have processed it and to answer any questions you may have.
We look forward to seeing you!

1Family / Adults > 2Children 1-3 (if necessary) > 3Children 4-6 (if necessary)
Parish you wish to join *

As a member of the Catholic Area Faith Community of Jesus Our Living Water, you may belong to either parish; attend Mass, liturgies, Faith Formation classes, participate in ministries, etc. at any of our parishes. We ask you to choose so that your records can be stored in one parish's database.
Name
(Head of Household) Name
(Head of Household) * First Middle Last
Please enter the name of the head of household. Parish mailings will come with this name first.
Maiden Name (if applicable)
Primary Address Primary Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Second Home?
Do you have a second address for part of the year? *

Second Home?
Do you have a second address for part of the year? Yes No
Second Address
(Winter/Other) Second Address
(Winter/Other)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please contact the office to let us know when to use this second address.
Date of Birth Date of Birth * / MM / DD YYYY
Sex *

Sex Male Female
Religion *

Religion Catholic Other Other
Primary Phone Primary Phone * - ### - ### ####
Cell Phone
If different than Primary Phone Cell Phone
If different than Primary Phone - ### - ### ####
Other Phone Other Phone - ### - ### ####
Email Address *
Occupation / Talents / Other Comments

Are there talents you are willing to share?
For example, are you a carpenter by trade and willing to help with projects around the church? Or, maybe you are a gardener and are willing to help when we do small landscaping work.
Marital Status *

Marital Status Married Single Widow/Widower Other Other

Sacraments Received
Please indicate which sacraments the Head of Household has received *
	Yes	No
Baptism	BaptismYes	BaptismNo
Reconciliation	ReconciliationYes	ReconciliationNo
First Communion	First CommunionYes	First CommunionNo
Confirmation	ConfirmationYes	ConfirmationNo
Matrimony	MatrimonyYes	MatrimonyNo

SPOUSE INFORMATION
Name Name * First Last
Even if your spouse is not Catholic, we request their information so that we can get to know them too!
Date of Birth Date of Birth * / MM / DD YYYY
Sex *

Sex Male Female
Religion *

Religion Catholic Other Other
Cell Phone
If different than Primary Phone Cell Phone
If different than Primary Phone - ### - ### ####
Other Phone Other Phone - ### - ### ####
Email Address
Occupation / Talents / Other Comments

Sacraments Received
Please indicate which sacraments your spouse has received *
	Yes	No
Baptism	BaptismYes	BaptismNo
Reconciliation	ReconciliationYes	ReconciliationNo
First Communion	First CommunionYes	First CommunionNo
Confirmation	ConfirmationYes	ConfirmationNo
Matrimony	MatrimonyYes	MatrimonyNo

Number of Children living at home? *
Must be a number less than or equal to 6.
Is there another adult you would like to register as part of your family unit? (Not spouse) *

Is there another adult you would like to register as part of your family unit? (Not spouse) Yes No
OTHER ADULT (Non-Spouse) Information
Relationship to You *

Relationship to You Parent Other Other
Name Name * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Sex *

Sex Male Female
Religion *

Religion Catholic Other Other
Cell Phone
If different than Primary Phone Cell Phone
If different than Primary Phone - ### - ### ####
Email Address
Occupation / Talents / Other Comments

Sacraments Received
Please indicate which sacraments the other adult has received *
	Yes	No
Baptism	BaptismYes	BaptismNo
Reconciliation	ReconciliationYes	ReconciliationNo
First Communion	First CommunionYes	First CommunionNo
Confirmation	ConfirmationYes	ConfirmationNo
Matrimony	MatrimonyYes	MatrimonyNo

Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

New Parishioner Registration

New Parishioner Registration

SPOUSE INFORMATION

OTHER ADULT (Non-Spouse) Information