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Forms – Parish Registration

Parish Registration

A form for new parishioners to complete.

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This field is for validation purposes and should be left unchanged.

Today's Date

Family Last Name(Required)

Last

Local Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Northern Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status:

Are you a year-round resident?

Yes

No

What months are you in Florida?

All parishioners receive an envelope number upon registration. Do you want to receive paper donation envelopes?(Required)

Yes

No

Head of Household Title:(Required)

Mr.

Mrs.

Ms.

Dr.

Other

First Name(Required)

First

Date of Birth(Required)

Gender:

Male

Female

Religion(Required)

What sacraments have you received?(Required)

Baptism

First Communion

Confirmation

Email(Required)

Spouse (if applicable)

Spouse Title:

Mr.

Mrs.

Ms.

Dr.

Other

Name

First Last

Spouses Date of Birth

Spouses Gender

Female

Male

Spouse's Religion

What Sacraments Have They Received?

Baptism

First Communion

Confirmation

Spouce's Email

Spouse's Phone (if different from above)

Dependent 1 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 2 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 3 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 4 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 5 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 6 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Dependent 7 (only those living in your household full time under the age of 18)

Child's First Name

Child's Gender

Male

Female

Child's Date of Birth

Place of Baptism

Date of Baptism

First Communion?

Yes

No

Confirmation?

Yes

No

Current Grade

Current School

Enrolled in Faith Formation?

Yes

No

Invigorated by our faith and dedication, Saint John is a Catholic church that lives our vision: To Know, To Love, and To Serve God in His Church and Our Community. We welcome the entire community to come and actively hear, pray and live the beauty, goodness and truth of the Gospel.

Social Media:

Contact

625 111th Ave N, Naples, FL 34108 Phone: (239) 566-8740 info@sjecc.com

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