St. Monica Catholic Church Registration Form
Welcome!  We are glad you are joining our church family.  Please complete this form to the best of your ability.  If you have questions, please call the church office at (816) 471-3696.
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Family Name (Last Name) *
Head of Family (First Name) *
Date of Birth *
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DD
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Place of Birth (City) *
Best phone number to reach you at *
What is your street address? *
What is the city of your residence? *
What is the state of your residence? *
What is your zip code? *
What is the best email address to reach you at for parish information? *
What social media platforms do you use? *
Required
What is your current occupation?
What talents has God gifted you with to share with our church family?
Are there any parish ministries you are interested in learning more about or being contacted?
Yes, please contact me as I am interested in learning more about this ministry.
I am not sure.
No, please do not contact me.
Knights of Peter Claiver
Ladies of Peter Claiver
Rosary Society
Eucharistic Ministers
Liturgical Ministers
Music Ministers
Hospitality Ministers
Religious Education Ministers
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What religion do you identify as? *
IF Catholic, what was the name & location of your former parish? *
Have you received any of the following Sacraments? *
Yes
No
Sacrament of Baptism
Sacrament of Communion
Sacrament of Confirmation
Which Parish, City, State, and Country did you receive any of the above Sacraments?
What is your Spouse's first name?
What is your Spouse's Maiden Name
What is your Spouse's date of birth?
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/
DD
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YYYY
What is the date of your marriage?
MM
/
DD
/
YYYY
Where were you married?  (Location, City, State, & Country)
What religion does your Spouse identify as? *
Has your Spouse received any of the following Sacraments?
Yes
No
Sacrament of Baptism
Sacrament of Communion
Sacrament of Confirmation
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Do you have any children under the age of 18 years old living at home with you? *
Please list the Full Names AND Dates of Birth for your children.  
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