Registration Form
~ The Parish Community of Holy Rosary ~
Today’s Date: ______
1: HEAD of HOUSE
Last Name: ______Maiden Name: ______
First Name: ______Nickname: ______
Complete address: ______
Home Phone: (______) ______- ______email address: ______
Cell Phone: (______) ______- ______Work Phone: (______) ______- ______
Birth Date: ______Occupation: ______
Religion: ______Employer: ______
Level of Education: High School Grad ____ College Grad ____ Second Language: ______
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
2: SPOUSE or Significant Other:
Last Name: ______Maiden Name: ______
First Name: ______Nickname: ______
Complete address: ______
Home Phone: (______) ______- ______email address: ______
Cell Phone: (______) ______- ______Work Phone: (______) ______- ______
Birth Date: ______Occupation: ______
Religion: ______Employer: ______
Level of Education: High School Grad ___College Grad ___ Second Language: ______
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Date of Marriage: ______Church/Place of Marriage: ______
** Preferred method of communication: __ e-mail __ text __ U.S. Mail
Additional Members in the Household
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
Last Name: ______Nickname: ______
First Name: ______Male __ Female __ Relationship: ______
Birth Date: ______Religion: ______
Occupation: ______Second Language: ______
Employer/School: ______Present Grade: _____
*** For ALL Sacraments ~ Please list church name, city & state where sacrament was received.
Baptism: ______
First Communion: ______
Confirmation: ______
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In my last parish I participated in (name of group, organization or ministry) ______
______
Responding to our Baptismal call through service to others…
I would love to learn more about these ministries at Holy Rosary:
__ Catechist (preschool, grade school, high school, adult, assistant, substitute)
__ Legion of Mary __ Extraordinary Minster__ Lector __ Sacristan __ Server __ Usher __ Adult Choir __ Youth Choir
__ Children’s Choir __ Funeral Choir __ Cantor __ Prayer Hot Line __Nursing Home Mass __ Nursing Home and/or Shut-In Communion
__ Great Adventure Bible Study __ Bereavement Committee __ Liturgy & Worship Committee __ Welcome Committee
Volunteer Opportunities:
__ School __ School Office __ Youth Group __Church Decorations __ Fall/Spring Church Cleaning __ Circle of Friends __ Hospitality Com.
__ Vacation Bible School __ Parish Festival __ Garage Sale __ Men’s Fellowship __ Friends of Holy Rosary __ Scrip __ Greeters
__ Grounds/Maintenance Committee __ Collection Counters __ Grant Writing Committee __ Agape