St. Vincent de Paul Catholic Church - Parish Registration Form

	Family Last Name *
	Street Address *				Apartment  No.
	City*
	State*				Zip Code *
	Telephone *				Email
			Listed Unlisted
	Wife's Maiden Name				Valid Marriage:		Yes No
	Date Married (mm/dd/yy)

   

	Yes No		Do you plan to enroll your child/children in the Religious Education Program?
	Yes No		Do you plan to enroll your child/children in our Parish School?
	Yes No		Do you want Contribution Envelopes?

	Adult 1				Adult 2
	Title (Mr./Ms/Miss/Dr) *				Title: Mr./Ms/Miss/Dr)
	First & Last Name* (If different from family name)				First & Last Name: (If different from family name)
	Middle Initial				Middle Initial:
	Birth Date *				Birth Date:
	Sex:*		Male   Female		Sex:		Male   Female
	Marital Status:*		Married Single Separated Divorced Widow/Widower		Marital Status:		Married Single Separated Divorced Widow/Widower
	Religion:*		Catholic Protestant Jewish		Religion:		Catholic Protestant Jewish
	Other (please indicate)				Other (please indicate)
	Convert:*		Yes   No		Convert:		Yes No
	Baptized:*		Yes   No		Baptized:		Yes No
	First Communion:*		Yes   No		First Communion:		Yes No
	Confirmed:*		Yes   No		Confirmed:		Yes No
	Profession				Profession
	Employer				Employer
	Work Phone Number				Work Phone Number
	Education Level				Education Level

	Child 1				Child 2
	First & Last Name: (If different from family name)				First & Last Name: (If different from family name)
	Middle Initial:				Middle Initial:
	Birth Date:				Birth Date:
	Sex:		Male  Female		Sex:		Male   Female
	Religion:		Catholic ProtestantJewish		Religion:		Catholic Protestant  Jewish
	Other (please indicate)				Other (please indicate)
	Baptized:		Yes   No		Baptized:		Yes   No
	First Communion:		Yes   No		First Communion:		Yes   No
	Confirmed:		Yes   No		Confirmed:		Yes   No
	Education Level:				Education Level:

	Child 3				Child 4
	First & Last Name: (If different from family name)				First & Last Name: (If different from family name)
	Middle Initial:				Middle Initial:
	Birth Date:				Birth Date:
	Sex:		Male  Female		Sex:		Male   Female
	Religion:		Catholic ProtestantJewish		Religion:		Catholic Protestant  Jewish
	Other (please indicate)				Other (please indicate)
	Baptized:		Yes   No		Baptized:		Yes   No
	First Communion:		Yes   No		First Communion:		Yes   No
	Confirmed:		Yes   No		Confirmed:		Yes   No
	Education Level:				Education Level:

	Child 5				Child 6
	First & Last Name: (If different from family name)				First & Last Name: (If different from family name)
	Middle Initial:				Middle Initial:
	Birth Date:				Birth Date:
	Sex:		Male  Female		Sex:		Male   Female
	Religion:		Catholic ProtestantJewish		Religion:		Catholic Protestant  Jewish
	Other (please indicate)				Other (please indicate)
	Baptized:		Yes   No		Baptized:		Yes   No
	First Communion:		Yes   No		First Communion:		Yes   No
	Confirmed:		Yes   No		Confirmed:		Yes   No
	Education Level:				Education Level:

St. Vincent de Paul Parish - Organizations and Ministries If you are interested in joining or would like more information on any of the Organizations and Ministries listed below, please check and send.  For further information regarding ongoing activities, refer to our Weekly Bulletin which is available on our website and at all the Church entrances.
Adopt-a-Student Adult Christian Community Altar Servers Altar Society Bible Study Blessed Mother Guild Blood Drive Boy Scouts Centering Prayer Catholic Daughters Cub Scouts Eucharistic Adoration Eucharistic Ministers Fix-it Friends Girl Scouts Homebound Hospital Visitation Hospitality Ministry (Ushers) Knights of Columbus Lectors		Legion of Mary Library, Parish Music Ministry Nurse Ministry Nursery Nursing Homes and Retirement Centers Parish Missions Pastoral Council Pathmakers Physical Plant Committee Prayer Support Ministry Religious Education-2yrs to 5th Grade Religious Education-Adults Religious Education Youth Ministry-Junior and Senior High Re-membering Church Rosary Guild Senior Adult Leisure Learning Sewing / Mend-it Friends Share the Word Society of St. Vincent de Paul Spanish Ministry Sponsor-Couple Program St Vincent de Paul School Vocations Committee Young at Heart (50+)

Women's Guilds
Our Lady, Queen of Angels Workshop St. Anne Guild (SVDP Mothers)		St. Gerard Guild