Parish Registration

FAMILY INFORMATION

*Last Name:
*First Name(s):
*Home Phone:
*Family E-mail:

Address:

Mailing address, if different:

If you own your own business, please provide the name and a brief description:

How many years in Holy Trinity?

Env. No.
If you don’t receive envelopes, do you want to? YESNO

If you are a summer resident, what months are you here and what is your winter address?

If you go away for a period during the winter, when are you away and what is that address?



Individual Member Information

COUPLE/HEAD OF HOUSEHOLD
Marital Status: MSWDSep
Wedding Date:
Church/City/State:


Head of Household:
Name:
DOB:

Religion:
Baptized: YESNO
Reconciliation: YESNO
First Communion: YESNO
Confirmed: YESNO

Occupation:
Work Phone:
Participation in Parish Ministries or Organizations:


Spouse or other adult sharing household:
Name:
Maiden Name:
DOB:

Religion:
Baptized: YESNO
Reconciliation: YESNO
First Communion: YESNO
Confirmed: YESNO

Occupation:
Work Phone:
Participation in Parish Ministries or Organizations:




CHILDREN LIVING AT HOME

Name:
Birth date:
Sex: FemaleMale
Grad. Yr.:
Religion:
Baptism (date):
Reconciliation (date):
First Eucharist (date):
Confirmation (date):


Name:
Birth date:
Sex: FemaleMale
Grad. Yr.:
Religion:
Baptism (date):
Reconciliation (date):
First Eucharist (date):
Confirmation (date):


Name:
Birth date:
Sex: FemaleMale
Grad. Yr.:
Religion:
Baptism (date):
Reconciliation (date):
First Eucharist (date):
Confirmation (date):


Name:
Birth date:
Sex: FemaleMale
Grad. Yr.:
Religion:
Baptism (date):
Reconciliation (date):
First Eucharist (date):
Confirmation (date):




OTHERS LIVING WITH YOU

Name:
How related:


Name:
How related:

Are there any shut-ins in your home who would like to receive Communion? YESNO

*Required