Springbank Catholic Family of Parishes New Parishoner Registration Springbank Catholic Family of Parishes Registration Form Registration for which parish: St. John the Divine Parish St. George Parish FAMILY INFORMATION Family Correspondence * NAME TO BE PRINTED ON FORM LETTERS NAME TO BE PRINTED ON TAX RECEIPTS * SUNDAY OFFERTORY * Box of Weekly Sunday Envelopes Pre-Authorized Donations Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal MAIN CONTACT PHONE NUMBER * Is number above a mobile number? * Yes No MAIN CONTACT EMAIL * Confirm MAIN CONTACT EMAIL * PRIMARY MEMBER INFORMATION FIRST NAME * LAST NAME * DATE OF BIRTH * RELIGION * OCCUPATION MARITAL STATUS Single Married Common Law Widowed Separated Divorced SACRAMENTS RECEIVED IN CATHOLIC CHURCH Baptism First Reconciliation First Communion Confirmation Catholic Marriage WOULD YOU LIKE TO ADD ANOTHER ADULT MEMBER? * Yes No OTHER ADULT MEMBER FIRST NAME * LAST NAME * DATE OF BIRTH RELIGION * OCCUPATION Phone Is this a mobile number? Yes No MARITAL STATUS Single Married Common Law Widowed Separated Divorced SACRAMENTS IN THE CHURCH Baptism First Reconciliation First Communion Confirmation Catholic Marriage Would you like to add another member who is living at home? * Yes No OTHER MEMBER LIVING AT HOME - 1 FIRST NAME * LAST NAME * DATE OF BIRTH * RELATIONSHIP TO PRIMARY MEMBER * Son Daughter OtherOther SACRAMENTS RECEIVED Baptism First Reconciliation First Communion Confirmation Would you like to add another member living at home? Yes No OTHER MEMBER LIVING AT HOME - 2 FIRST NAME * LAST NAME * DATE OF BIRTH SACRAMENTS RECEIVED Baptism First Reconciliation First Communion Confirmation RELATIONSHIP TO PRIMARY MEMBER Son Daughter OtherOther Would you like to add another member living at home? * Yes No OTHER MEMBER LIVING AT HOME - 3 FIRST NAME * LAST NAME * DATE OF BIRTH RELATIONSHIP TO PRIMARY MEMBER * Son Daughter OtherOther SACRAMENTS RECEIVED * Baptism First Reconciliation First Communion Confirmation Would you like to add another member living at home? * Yes No OTHER MEMBER LIVING AT HOME - 4 FIRST NAME * LAST NAME * DATE OF BIRTH * RELATIONSHIP TO PRIMARY MEMBER * Son Daughter OtherOther SACRAMENTS RECEIVED * Baptism First Reconciliation First Communion Confirmation reCAPTCHA If you are human, leave this field blank. Submit Looking to support the work of the parish community? Give online!
