New Parishioner Registration

Head of Household Information:

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

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

Middle Name Please enter valid data.

Salutation REQUIRED Please fill out this field.

Street Address REQUIRED Please fill out this field. 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.

Maiden Name Please enter valid data.

Gender REQUIRED Please fill out this field.

Birthdate REQUIRED Please fill out this field. Please enter a date.

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

Cell Phone Number Please enter a phone number.

Home Phone Number Please enter a phone number.

Occupation Please enter valid data.

Marital Status REQUIRED Please fill out this field.

Church of Marriage Please enter valid data.

City and State of Marriage Please enter valid data.

Date of Marriage Please enter a date.

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

Sacraments Received (Check all that were received) Baptism Eucharist Confirmation

Church of Baptism (if Known) Please enter valid data.

Date of Baptism (If Known) Please enter valid data.

Church of 1st Communion (If Known) Please enter valid data.

Church of Confirmation (If Known) Please enter valid data.

Date of Confirmation (If Known) Please enter valid data.

SPOUSE INFORMATION:

Last Name Please enter valid data.

First Name Please enter valid data.

Middle Name Please enter valid data.

Maiden Name Please enter valid data.

Gender:

Date of Birth Please enter valid data.

Cell Phone Number Please enter valid data.

Email Please enter valid data.

Occupation Please enter valid data.

Religion Please enter valid data.

Sacraments Received (Check all that were received) Baptism Eucharist Confirmation

Church of Baptism (if Known) Please enter valid data.

Date of Baptism (If Known) Please enter valid data.

Church of 1st Communion (If Known) Please enter valid data.

Date of 1st Communion (If Known) Please enter valid data.

Church of Confirmation (If Known) Please enter valid data.

Date of Confirmation (If Known) Please enter valid data.

CHILDREN INFORMATION:

Please complete the below information for each child in your household who is under 18 years of age and those over 18 if a student. Those over 18 and NOT a student should register separately.

Number of Children under 18 years old REQUIRED Please fill out this field.
Child 1
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 2
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 3
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 4
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 5
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 6
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 7
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 8
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 9
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments
Child 10
- Last Name Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Cell Phone Number Please enter valid data.
- Email Please enter valid data.
- Sacraments Received (Check all that were received) Baptism Eucharist Confirmation
- Church of Baptism (if Known) Please enter valid data.
- Date of Baptism (If Known) Please enter valid data.
- Church of 1st Communion (If Known) Please enter valid data.
- Date of 1st Communion (If Known) Please enter valid data.
- Church of Confirmation (If Known) Please enter valid data.
- Date of Confirmation (If Known) Please enter valid data.
- Comments

New Parishioner Registration

Registration Form

St. Peter Registration Form