Census/Registration Form 
for New Members
Sign in to Google to save your progress. Learn more
Head of Household:  (Prefix) First, Middle, Last *
Date of Birth *
MM
/
DD
/
YYYY
Address (Street, City, State, Zip) *
Phone *
Email
Spouse's Name:  (Prefix, First, Middle, Last) if applicable
Spouse's Date of Birth (if applicable)
MM
/
DD
/
YYYY
Spouse's Phone (if applicable)
Spouse's email (if applicable)
Marital Status *
If married, were you married in a church?
Date of Marriage
MM
/
DD
/
YYYY
Place of Marriage - Church, City, State
Do you want to receive the weekly Friday Flocknote Email Updates? 
Clear selection
Do you want to receive the Criterion
Clear selection
Do you want collection envelopes?
Clear selection
Are you interested in auto-withdrawal from savings or checking?
Clear selection
Are you interested in donating thru our Parish Website Online Giving?
Clear selection
Are you/your family interested in the following ministries?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy