Head of Household
If both spouses are Catholic, "head of household" is the husband. In a mixed marriage, for parish purposes, "head of household" is the Catholic spouse. "Head of household" can also be a single person living alone or with dependents.
Family Surname*
First Name*
Middle Name
Street Address*
City*
State*
Please type in name of state if other than Wisconsin
Zip*
Home Phone*
111-111-1111
Unlisted
(Select One) Yes
No
Cell Phone
111-111-1111
Work Phone
111-111-1111
Email Address*
Date of Birth*
(MM/DD/YYYY)
11/11/1111
Marital Status*
Married
Single
Divorced
Widowed
If you are currently married, when was your wedding date?
(MM/DD/YYYY)
Did you marry in a Catholic ceremony (or in a ceremony valid for the Catholic Church?)
(Select One) Yes
No
Occupation *
Are you a student?*
No
Yes - Undergraduate
Yes - Graduate
If so, where are you currently enrolled?
(Select One)
UW
MATC
Edgewood College
Other
Religion*
Catholic
Protestant
Non-Christian
Have you been baptized?*
Yes
No
Have you been confirmed?*
Yes
No
Have you received first communion?*
Yes
No
Spouse's Information
First Name
Middle Name
Last Name
*If different than above
Cell Phone
111-111-1111
Email Address
Date of Birth
(MM/DD/YYYY)
11/11/1111
Occupation
Is he/she a student?
(Select One)
No
Yes - Undergraduate
Yes - Graduate
If so, where is he/she a student at?
(Select One)
UW
MATC
Edgewood College
Other
Religion
(Select One)
Catholic
Protestant
Non-Christian
Has he/she been baptized?
(Select One) Yes
No
Has he/she been confirmed?
(Select One) Yes
No
Has he/she received first communion?
(Select One) Yes
No
Members of Household
Includes children/dependents who are a.) less than 22 years of age, b.) college students whose permanent address with their parents, or c.) adult children with disabilities who remain in the care of their parents. Adult children who wish to do so should register separately.
Number of children*
Name of first child
(First and Middle) *Indicate last name only if different from above
First child's date of birth
(MM/DD/YYYY)
Has he/she been baptized?
(Select One) Yes
No
Has he/she been confirmed?
(Select One) Yes
No
Has he/she received first communion?
(Select One) Yes
No
Name of second child
Second child's date of birth
(MM/DD/YYYY)
Has he/she been baptized?
(Select One) Yes
No
Has he/she been confirmed?
(Select One) Yes
No
Has he/she received first communion?
(Select One) Yes
No
Name of third child
Third child's date of birth
(MM/DD/YYYY)
Has he/she been baptized?
(Select One) Yes
No
Has he/she been confirmed?
(Select One) Yes
No
Has he/she received first communion?
(Select One) Yes
No
Please enter the names, dates of birth, and sacraments received for any other children here
Stewardship Information
I would like information about online giving*
Yes
No
Every household will receive offertory envelopes. Parishioners can choose to elect in electronic transfer giving (EFT) for their regular offertory contributions.
Sacramental Life & Liturgy*
Perpetual Adoration (scheduled adorer)
Being a eucharistic minister
Being a lector
Being an usher/greeter
Singing in the choir
Being an altar server
I am not interested right now.
I prefer someone contact me to discuss involvement in parish activities.
Please take a moment to reflect on the gifts of time and talent that God has given you. Above you will find a few of the ministries and parish organizations that would love your help. Please select the one you are interested in and someone will contact you shortly!
Outreach*
St. Vincent de Paul Food Pantry
St. Vincenet de Paul Parish Collections
Visit Sick/Homebound
Transportation of Elderly
Right to Life - Rose Sale (May)
I am not interested right now.
Community Life*
Cooking/Hosting Parish Brunch
Hospitality
Young Adult Activities
Pilgrimages/Outings
I am not interested right now.
Other*
Mailings
Computer Data Entry
Collection Counter (Mondays)
Garden Club (Planting, Maintenance)
Grounds/Maintenance
I am not interested right now.
Additional Information
Catholic Herald*
Yes
No
Would you like to receive the weekly diocesan newspaper, the Catholic Herald?*
Previously Registered*
Yes - St. Raphael Cathedral
Yes - St. Patrick Parish
Yes - Holy Redeemer Parish
No
Where you previously registered with one of the isthmus parishes?
Comments
Additional comments
Your comments or questions are welcome. Please enter them in the text box above!
Security Code*
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