Child's Parish Registration Form When a Household has 6+ Children

Please fill out this form for EACH child/guardianship 21 years old and younger, living in your household.

Start with your name (parent) and email address:

Your name *

Email address *

Child's Information

Child's first name *

Legal/formal first name. (Example: Joseph/Susan)

Child's Middle Name

Child's Nickname - If Different than First Name

How does your child like to be addressed by others? (Example: Joe/Sue)

Child's Last Name *

Child's Date of Birth *

Child's Gender *

Child's Grade *

Child's Grade Description

Child's Religion *

Child's Ethnicity *

What best describes your child's ethnicity/race? (This list is not exhaustive, select what BEST applies). For statistical purposes.

What Sacraments has your Child received? *

To the best of your knowledge, check all the Catholic Sacraments of Initiation that your child has received to date:

Baptism (may include other Christian baptism)

First Holy Eucharist

Confirmation

Unsure

None

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