New Parishioner Registration Form

About Us
News
- Bulletin Information
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Growing Our Faith
Ministries & Sacraments
Contact

About Us
News
- Bulletin Information
- Photos
Growing Our Faith
Ministries & Sacraments
Contact

Ministers Schedule

New Parishioner Registration Form

Parish Registration Form

We're so happy that you've chosen to join our faith family!

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Surname

Date

City

Street Address

City

State

Zip

Do you live in the area year round or seasonally?

Year Round

Seasonally

May we share your personal information with our Parish Ministries?

Yes

No

Preferred Language

English

Spanish

1st Head of Household - Marital Status

Single

Married

Separated

Divorced

Widowed

1st Head of Household - First Name

1st Head of Household - Middle Name

1st Head of Household - Last Name

1st Head of Household - Primary Phone Number

1st Head of Household - Additional Phone Number

1st Head of Household - Email Address

Receive Parish Emails?

Yes

No

1st Head of Household - Date of Birth

1st Head of Household - Occupation

1st Head of Household - Sacraments Completed

Baptism

1st Communion

Confirmation

1st Head of Household - Church of Baptism

City

State

Church of Confirmation

City

State

Wedding Anniversary (if applicable) mm/dd/yyyy

2nd Head of Household - Marital Status

Single

Married

Separated

Divorced

Widowed

2nd Head of Household - First Name

2nd Head of Household - Last Name

2nd Head of Household - Primary Phone Number

2nd Head of Household - Additional Phone Number

2nd Head of Household - Email Address

Receive Parish Emails?

Yes

No

2nd Head of Household - Date of Birth

2nd Head of Household - Occupation

2nd Head of Household - Sacraments Completed

Baptism

First Communion

Confirmation

2nd Head of Household - Church of Baptism

City

State

Church of Confirmation

City

State

3rd Household Member - First Name

3rd Household Member - Last Name

3rd Household Member - Date of Birth

3rd Household Member - Occupation

3rd Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

3rd Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

4th Household Member - First Name

4th Household Member - Last Name

4th Household Member - Date of Birth

4th Household Member - Occupation

4th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

4th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

5th Household Member - First Name

5th Household Member - Last Name

5th Household Member - Date of Birth

5th Household Member - Occupation

5th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

5th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

6th Household Member - First Name

6th Household Member - Last Name

6th Household Member - Date of Birth

6th Household Member - Occupation

6th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

Church of Baptism

City

State

I would like to learn more about:

Religious Education

Faith Formation

Sacraments

Music Ministry

Women's Ministry

Youth Ministry

Children's Ministry

Vacation Bible School

Event Volunteering

Extraordinary Ministers

Prayer Chain

Other

If Other, please specify

Thank you for contacting us.
We will get back to you as soon as possible

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609 Market Street, Parkersburg, WV 26101

304-422-6786

Physical Church building is: 532 Market Street, Parkersburg, WV

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