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Church of the Holy Rosary Parish Registration Form
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* Indicates required question
First Name
*
Your answer
Middle Name
*
Your answer
Last Name
*
Your answer
MAIDEN NAME ( VERY IMPORTANT)
Your answer
Preferred Name
Your answer
Marital status
*
Married
Single
Divorced
Widow(er)
Street address
*
Your answer
City State and Zip
*
Your answer
E-mail
*
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Work Phone Number
Your answer
Religion
Your answer
For more information on becoming Catholic contact
bratcherpagel@holyrosary.edu
or shylalee@holyrosary.edu.
Occupation
Your answer
Birthdate
MM
/
DD
/
YYYY
Baptized
*
Yes
No
If baptized, in what denomination ?
Catholic
Baptist
Methodist
Lutheran
Other:
Clear selection
Date of Baptism
MM
/
DD
/
YYYY
Would you like to receive the Tennessee Register Catholic Newspaper ($29/year)?
https://holyrosary.weshareonline.org
Yes
No
Clear selection
What is your preferred method of giving?
Mailed Envelopes
Online Giving
https://holyrosary.weshareonline.org
Clear selection
Do you need to enter information for your spouse, children, or other adults at home?
*
Yes
No
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