SIJ Parish Registration

Last Name:*

Address:*

City:*

State:*

Zip:*

Home Phone:
Home-E-mail:*

Would you like Offertory Envelopes?
YesNo

Would you like the Catholic Review weekly newspaper?
(The cost per year is $28 per subscription)
YesNo


Couple/Head of Household Information
Marital Status:
Wedding Date (Month/Day/Year):
Name:
First:
Middle:
Maiden:
Last:
Nickname:
Date of Birth (Month/Day/Year):
Occupation (Job Title/Company Name):
Work Phone:
Work e-mail:

Sacramental Information:

Baptized:
YesNo

Confirmed: YesNo

Catholic: YesNo
If another faith, please list Denomination:
Name:
First:
Middle:
Maiden:
Last:
Nickname:
Date of Birth (Month/Day/Year):
Occupation (Job Title/Company Name):
Work Phone:
Work e-mail:

Sacramental Information:

Baptized:
YesNo

Confirmed: YesNo

Catholic: YesNo
If another faith, please list Denomination:

Registration Information for Children and Youth
Name:
First:
Middle:
Last:
Nickname:
Date of Birth:
Sacrament:
Baptism:
Reconciliation:
Eucharist:
Confirmation:
Date (if known):

Church where Baptized:

Church Name:
Address:
City:
State:
Zip Code:
Name:
First:
Middle:
Last:
Nickname:
Date of Birth:
Sacrament:
Baptism:
Reconciliation:
Eucharist:
Confirmation:
Date (if known):

Church where Baptized:

Church Name:
Address:
City:
State:
Zip Code:
Name:
First:
Middle:
Last:
Nickname:
Date of Birth:
Sacrament:
Baptism:
Reconciliation:
Eucharist:
Confirmation:
Date (if known):

Church where Baptized:

Church Name:
Address:
City:
State:
Zip Code:
Name:
First:
Middle:
Last:
Nickname:
Date of Birth:
Sacrament:
Baptism:
Reconciliation:
Eucharist:
Confirmation:
Date (if known):

Church where Baptized:

Church Name:
Address:
City:
State:
Zip Code:

The Parish Offices will be closed on Monday, April 17 in observance of the Easter holiday. The offices will reopen Tuesday with shortened hours and limited staff. We will be open from 9:00 am to 3:00 pm Tuesday through Friday.