Family Name(required)StreetPhone Number(required)City(required)Email(required)State(required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnlisted(required)YesNoZip Code(required)Head of HouseholdFirst Name(required)Date of Birth(required)Middle Name(required)Gender(required)Maiden Name(required)Religion(required)1st Communion(required)YesNoMarried by PriestYesNoPlace Baptized(required)Confirmation(required)YesNoChurch Where MarriedCity/StateMarital Status(required)City Where MarriedBaptized(required)YesNoDate MarriedParished Registered(required)Email address(required)Talent/Skills(required)Parish Attend(required)Attend Mass(required)RegularlySeldomNeverHighest Grade Completed(required)Cell Phone(required)Occupation(required)Language(required)Work Phone(required)Employer(required)Ethnicity(required)SpouseFirst NameDate of BirthMiddle NameGenderMaiden NameReligion1st CommunionYesNoMarried by PriestYesNoPlace BaptizedConfirmationYesNoChurch Where MarriedCity/StateMarital StatusCity Where MarriedBaptizedYesNoDateParish RegisteredEmail addressTalents/SkillsParish AttenAttend Mass RegularlyRegularlySeldomNeverHighest Grade CompletedCell PhoneOccupationLanguageWork PhoneEmployerEthnicityChildren Living at this AddressName5. Name of School/Home School/EmployerDate of BirthRelationshipAttend CCDYesNoPlace BaptizedReligionPresent Grade1st CommunionYesNoEthnicityGenderConfirmationYesNoName5. Name of School/Home School/EmployerDate of BirthRelationshipAttend CCDYesNoPlace BaptizedReligionPresent Grade1st CommunionYesNoEthnicityGenderConfirmationYesNoName Name of School/Home School/EmployerDate of BirthRelationship Attend CCDYesNoPlace BaptizedReligionPresent Grade1st CommunionYesNoEthnicityGenderConfirmationYesNoName Name of School/Home School/EmployerDate of BirthRelationshipAttend CCDYesNoPlace BaptizedReligionPresent GradeFirst CommunionYesNoEthnicityGenderConfirmationYesNoAdditional Questions1. If you have preschool children: Do you intend to send them to Parish School? (required)YesNo2. Are there home bound children/adults in the household? (required)YesNo3. Does Mass present a problem to any member of the household? i.e. transportation, illness, no one to stay with homebound… Explain. (required)4. If you have specific skills: Would you be willing to help occasionally YesNoPublicationPlease Check One or More: Let us know if you would prefer we did not publish your information in publications like a Directory. If you mark one or more of these, this does not mean you will not receive emails or mail from St. Paul.(required)Yes, St. Paul can publish my information.Do not publish my phone numbers(s).Do not publish my email(s).Do not publish my address.SendThis field should be left blank
