St. Timothy New Parishioner Registration
Welcome to St. Timothy Catholic Church in beautiful Lady Lake, Florida. This form is for new parishioner registrations only. If you have filled out a registration previously, either on line or in the parish office, or have any other questions, please contact us at 352-753-0989. We will be happy to assist you!
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Email *
Family Last Name *
First Name *
Spouse
First Name only unless Last is different from above
Title
PO Box
Street Address
Home Development/Village
If you live in a named housing community or "Village".
City
State
Zip Code
Phone Number with Area Code *
Preferred contact phone number
Phone Type *
Preferred contact phone number
Primary Spoken Language
Clear selection
Residency *
If "Seasonal", what month do you arrive?
Clear selection
If "Seasonal", what month do you depart?
Clear selection
Can we add your name to the Bulletin to welcome you
Clear selection
Would you like to volunteer at St. Timothy?
Clear selection
If "Yes", what areas might interest you? 
You may check more than one. The Coordinator of Volunteers will contact you. 
What is/was your occupation?
To determine experience for volunteer activities. Experience is not always required.
Emergency Contact *
Preferably a family member who does not live with you. A husband/wife is always considered a first emergency contact and should not need to be repeated here. 
Emergency Contact Relationship *
Emergency Contact Phone *
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