New Parishioner Registration

Title *
 Mr. & Mrs. 
 Miss 
 Ms. 
 Mr. 
 Mrs. 
 Mr. & Dr. 
 Dr. & Mrs. 
Name *
Prefix
First *
Last *
Suffix
Family Status (Check One) *
 Single 
 Married Couple 
 Married Couple w/Children 
 Single Parent Household 
 Blended Family 
 Widow/Widower 
 Co-Habitation 
I/We would like to support the Parish with: *
 Weekly Envelopes 
 Monthly Envelopes 
 Online Giving (go to www.jp2parish.org, scroll down and click on ONLINE GIVING) 
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Mailing Address if Different from Street Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number *

###
-
###
-
####
Winter Address (If you would like your mail sent)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Gone From:

MM
/
DD
/
YYYY
Return Back:

MM
/
DD
/
YYYY
Permission to welcome your family in bulletin and parish website *
 Yes 
 No 

Members

Please complete each section for EACH member in the household.
Member #1 *
Prefix
First *
Last *
Suffix
Female MAIDEN Name
Gender *
 Male 
 Female 
Birthday Date

MM
/
DD
/
YYYY
Religion *
 Catholic 
 Non-Catholic 
Email *
Phone Number

###
-
###
-
####
Occupation
Church of Baptism
Date

MM
/
DD
/
YYYY
Church of Penance
Date

MM
/
DD
/
YYYY
Church of First Communion
Date

MM
/
DD
/
YYYY
Church of Confirmation
Date

MM
/
DD
/
YYYY
Marital Status *
 Single 
 Married - Church 
 Married - Civil 
 Widowed 
 Divorced - Annulled 
 Divorced - No Annulment  
Church of Marriage
Date

MM
/
DD
/
YYYY

Talents & Ministries

God has blessed each of us with special gifts to share with one another, especially those in need. Consider how you and your family can share those gifts by becoming an INVOLVED member of the parish.
Multiple Choice
 Parish Neighbors 
 Ladies of Charity 
 Catholic Charities 
 Respect Life 
 Eucharistic Minister 
 Lector 
 Altar Server 
 Eucharistic Adoration 
 Prayer Groups 
 Little Portion Friary 
 Buildings & Grounds 
 Sunday Coffee & Donuts 
 Usher 
 Traditional Music (Choir) 
 Contemporary Music  
 St. Vincent de Paul SOCIETY 
 Pre-Baptismal 
 Pre-Cana 
 Religious Education 
 RCIA 
 Parish Outreach 
 Bereavement 
 Evangelization Committee 
 Altar & Rosary Society 
 Holy Name Society 
 Social Club 
 Parish Leadership/Parish Council 
 Liturgy Planning Committee 
 Peace & Justice Comm. 
 Adult Funeral Server 
 Volunteer (Office) 
 Heart to Heart Prayer Shawl 

Member #2

Please complete each section for EACH member in the household.
Name
Prefix
First
Last
Suffix
Female MAIDEN Name
Gender
 Male 
 Female 
Birthday Date

MM
/
DD
/
YYYY
Email
Phone Number

###
-
###
-
####
Occupation
Religion
 Catholic 
 Non-Catholic 
Church of Baptism
Date of Baptism (even if approximate)

MM
/
DD
/
YYYY
Church of Penance
Date of Penance (even if approximate)

MM
/
DD
/
YYYY
Church of First Communion
Date (even if approximate)

MM
/
DD
/
YYYY
Church of Confirmation
Date (even if approximate)

MM
/
DD
/
YYYY
Marital Status
 Single 
 Married - Church 
 Married - Civil 
 Widowed 
 Divorced - Annulled 
 Divorced - No Annulment  
Church of Marriage
Date

MM
/
DD
/
YYYY

Talents & Ministries

God has blessed each of us with special gifts to share with one another, especially those in need. Consider how you and your family can share those gifts by becoming an INVOLVED member of the parish.
Multiple Choice
 Parish Neighbors 
 Ladies of Charity 
 Catholic Charities 
 Respect Life 
 Eucharistic Minister 
 Lector 
 Altar Server 
 Eucharistic Adoration 
 Prayer Groups 
 Little Portion Friary 
 Buildings & Grounds 
 Sunday Coffee & Donuts 
 Usher 
 Traditional Music (Choir) 
 Contemporary Music  
 St. Vincent de Paul SOCIETY 
 Pre-Baptismal 
 Pre-Cana 
 Religious Education 
 RCIA 
 Parish Outreach 
 Bereaavement 
 Evangelization Committee 
 Altar & Rosary Society 
 Holy Name Society 
 Social Club 
 Parish Leadership/Parish Council 
 Liturgy Planning Committee 
 Peace & Justice Comm. 
 Adult Funeral Server 
 Volunteer (Office) 
 Heart to Heart Prayer Shawl 

Member #3

Please complete each section for EACH member under age of 25 in the household.
Name
Prefix
First
Last
Suffix
Gender
 Male 
 Female 
Birthday Date

MM
/
DD
/
YYYY
Religion
 Catholic 
 Non-Catholic 
Phone Number

###
-
###
-
####
Church of Baptism
Date

MM
/
DD
/
YYYY
Church of Penance
Date

MM
/
DD
/
YYYY
Church of First Communion
Date

MM
/
DD
/
YYYY
Church of Confirmation
Date

MM
/
DD
/
YYYY
Marital Status
 Single 
 Married - Church 
 Married - Civil 
 Widowed 
 Divorced - Annulled 
 Divorced - No Annulment  
Church of Marriage
Date

MM
/
DD
/
YYYY

Talents & Ministries

God has blessed each of us with special gifts to share with one another, especially those in need. Consider how you and your family can share those gifts by becoming an INVOLVED member of the parish.
Multiple Choice
 Parish Neighbors 
 Ladies of Charity 
 Catholic Charities 
 Respect Life 
 Eucharistic Minister 
 Lector 
 Altar Server 
 Eucharistic Adoration 
 Prayer Groups 
 Little Portion Friary 
 Buildings & Grounds 
 Sunday Coffee & Donuts 
 Usher 
 Traditional Music (Choir) 
 Contemporary Music  
 St. Vincent de Paul SOCIETY 
 Pre-Baptismal 
 Pre-Cana 
 Religious Education 
 RCIA 
 Parish Outreach 
 Bereaavement 
 Evangelization Committee 
 Altar & Rosary Society 
 Holy Name Society 
 Social Club 
 Parish Leadership/Parish Council 
 Liturgy Planning Committee 
 Peace & Justice Comm. 
 Adult Funeral Server 
 Volunteer (Office) 
 Heart to Heart Prayer Shawl 

Member #4

Please complete each section for EACH member in the household.
Name
Prefix
First
Last
Suffix
Gender
 Male 
 Female 
Birthday Date

MM
/
DD
/
YYYY
Religion
 Catholic 
 Non-Catholic 
Phone Number

###
-
###
-
####
Church of Baptism
Date

MM
/
DD
/
YYYY
Church of Penance
Date

MM
/
DD
/
YYYY
Church of First Communion
Date

MM
/
DD
/
YYYY
Church of Confirmation
Date

MM
/
DD
/
YYYY
Marital Status
 Single 
 Married - Church 
 Married - Civil 
 Widowed 
 Divorced - Annulled 
 Divorced - No Annulment  
Church of Marriage
Date

MM
/
DD
/
YYYY

Talents & Ministries

God has blessed each of us with special gifts to share with one another, especially those in need. Consider how you and your family can share those gifts by becoming an INVOLVED member of the parish.
Multiple Choice
 Parish Neighbors 
 Ladies of Charity 
 Catholic Charities 
 Respect Life 
 Eucharistic Minister 
 Lector 
 Altar Server 
 Eucharistic Adoration 
 Prayer Groups 
 Little Portion Friary 
 Buildings & Grounds 
 Sunday Coffee & Donuts 
 Usher 
 Traditional Music (Choir) 
 Contemporary Music  
 St. Vincent de Paul SOCIETY 
 Pre-Baptismal 
 Pre-Cana 
 Religious Education 
 RCIA 
 Parish Outreach 
 Bereaavement 
 Evangelization Committee 
 Altar & Rosary Society 
 Holy Name Society 
 Social Club 
 Parish Leadership/Parish Council 
 Liturgy Planning Committee 
 Peace & Justice Comm. 
 Adult Funeral Server 
 Volunteer (Office) 
 Heart to Heart Prayer Shawl 

Member #5

Please complete each section for EACH member under age of 25 in the household.
Name
Prefix
First
Last
Suffix
Gender
 Male 
 Female 
Birthday Date

MM
/
DD
/
YYYY
Religion
 Catholic 
 Non-Catholic 
Phone Number

###
-
###
-
####
Church of Baptism
Date

MM
/
DD
/
YYYY
Church of Penance
Date

MM
/
DD
/
YYYY
Church of First Communion
Date

MM
/
DD
/
YYYY
Church of Confirmation
Date

MM
/
DD
/
YYYY
Marital Status
 Single 
 Married - Church 
 Married - Civil 
 Widowed 
 Divorced - Annulled 
 Divorced - No Annulment  
Church of Marriage
Date

MM
/
DD
/
YYYY

Talents & Ministries

God has blessed each of us with special gifts to share with one another, especially those in need. Consider how you and your family can share those gifts by becoming an INVOLVED member of the parish.
Select as many as applicable:
 Parish Neighbors 
 Ladies of Charity 
 Catholic Charities 
 Respect Life 
 Eucharistic Minister 
 Lector 
 Altar Server 
 Eucharistic Adoration 
 Prayer Groups 
 Little Portion Friary 
 Buildings & Grounds 
 Sunday Coffee & Donuts 
 Usher 
 Traditional Music (Choir) 
 Contemporary Music  
 St. Vincent de Paul SOCIETY 
 Pre-Baptismal 
 Pre-Cana 
 Religious Education 
 RCIA 
 Parish Outreach 
 Bereaavement 
 Evangelization Committee 
 Altar & Rosary Society 
 Holy Name Society 
 Social Club 
 Parish Leadership/Parish Council 
 Liturgy Planning Committee 
 Peace & Justice Comm. 
 Adult Funeral Server 
 Volunteer (Office) 
 Heart to Heart Prayer Shawl 

Additional Information

Please complete any additional information, including any members not listed above.

Picture

Please attach a photo of yourself and/or family. Multiple files may be attached if you would like to include a photo of each member.

With so many parishioners, it can be difficult to remember everyone. This will greatly assist us!
Picture: