Parish Registration Form

We welcome you to Saint Jerome Catholic Parish and invite you to register for the parish!

Would you like to register in our parish? Please stop by or call the Parish office. You may download your registration form and mail it to us, or complete the online form below. (Quisiera registrarse en la Parroquia? Form de Registro Parroquial)

I Am*
Registering As A New ParishionerAlready Registered, But Need To Update My Information

Family Information

Address*

Phone Number*

Phone Number 2

Email*

Email 2

Giving Options
I Want to Receive EnvelopesI Want To Sign Up for Auto-Deduction from My Bank Account

*Thank you for choosing EFT. Someone will be contacting you in order to give you further instructions to set this up.

Head of House
Information for the Head of Household (or individual if you are single)

Household Title*

Full Name*

Gender*
MaleFemale

Birth Date*

Religion*

Occupation*

Languages Spoken*

Sacraments Received* (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Marital Status*

Spouse/Other Adult
If no other adult, skip this section.

Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received* (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Children (Living at Home)
If no children, skip this section.

Child #1 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Child #2 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Child #3 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Child #4 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Child #5 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation

Child #6 Full Name

Gender
MaleFemale

Birth Date

Religion

Occupation

Languages Spoken

Sacraments Received (Check all that apply)
NoneBaptismFirst ReconciliationFirst EucharistConfirmation