New St. Patrick Parishioner Welcome to the faith community of St. Patrick Catholic Church! CommentsThis field is for validation purposes and should be left unchanged.Date(Required) MM slash DD slash YYYY Family InformationFamily Name(Required)Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone(Required)Primary Email Do you want to receive the Catholic Missourian weekly newspaper? Yes No Already receive Would you like to receive offertory envelopes? Yes, weekly envelopes Yes, monthly envelopes No, I prefer to give electronically Please complete a member registration for each person in your family living at home. Indicate if the member does not live with you full-time (i.e. away at school.)Member RegistrationName(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix NicknameDate of Birth MM slash DD slash YYYY PhoneEmail Occupationif a student, please give grade level.EmployerReligionMarital Status Single Married Separated Divorced Widowed Marriage LocationChurch, City, StateDate of Marriage MM slash DD slash YYYY Catholic Wedding? Yes No If no, has your marriage blessed by the Catholic Church? Yes No Sacramental InformationHave you been Baptized? Yes No Location of Baptism and Date (if known)Church, City, State, DateIf Baptised Catholic, have you also received the following? Communion Reconciliation Confirmation Select AllHave you gone through RCIA? Yes No The Rite of Christian Initiation of Adults is the process for adults to join the Catholic church.Additional Member? Yes No Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix NicknameDate of Birth(Required) MM slash DD slash YYYY PhoneEmail Occupationif a student, please give grade level.EmployerIf a student, give the name of the school.ReligionMarital Status Single Married Separated Divorced Widowed Marriage LocationChurch, City, StateDate of Marriage MM slash DD slash YYYY Catholic Wedding? Yes No If no, has your marriage blessed by the Catholic Church? Yes No Sacramental InformationHave you been baptized? Yes No Location of Baptism and Date (if known)If Baptised Catholic, have you also received the following? Communion Reconciliation Confirmation Select AllHave you gone through RCIA? Yes No The Rite of Christian Initiation of Adults is the process for adults to join the Catholic church.Additional Member? Yes No Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix NicknameDate of Birth(Required) MM slash DD slash YYYY PhoneEmail Occupationif a student, please give grade level.EmployerIf a student, give the name of the school.ReligionMarital Status Single Married Separated Divorced Widowed Date of Marriage MM slash DD slash YYYY Marriage LocationChurch, City, StateCatholic Wedding? Yes No If no, has your marriage been blessed by the Catholic Church? Yes No Not Sure Sacramental InformationHave you been baptized? Yes No Location of Baptism and Date (if known)If Baptised Catholic, have you also received the following? Communion Reconciliation Confirmation Select AllHave you gone through RCIA? Yes No The Rite of Christian Initiation of Adults is the process for adults to join the Catholic church.Additional Member? Yes No Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix NicknameDate of Birth(Required) MM slash DD slash YYYY PhoneEmail Occupationif a student, please give grade level.EmployerIf a student, give the name of the school.ReligionMarital Status Single Married Separated Divorced Widowed Date of Marriage MM slash DD slash YYYY Marriage LocationChurch, City, StateIs your marriage blessed by the Catholic Church? Yes No Not Sure Sacramental InformationHave you been baptized? Yes No Location of Baptism and Date (if known)If Baptised Catholic, have you also received the following? Communion Reconciliation Confirmation Select AllHave you gone through RCIA? Yes No The Rite of Christian Initiation of Adults is the process for adults to join the Catholic church.Additional Member? Yes No Date MM slash DD slash YYYY
