Holy Spirit Parish Registration Download the Registration Form * = RequiredFamily InformationFamily Last Name* First Name(s)* Mailing Name (ie Mr and Mrs John Doe)* Physical Address* Mailing Address* City* State* Zip* Home Phone*Emergency Phone*Family Email Would you like envelopes for your donations? Yes No Envelope Number (Office Use Only) Head of HouseFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Date of Birth MM slash DD slash YYYY Birth Place First Language Cell Phone*Work PhoneEmail Attending School Yes No Name of School Grade10th11th12thUnder GraduateGraduateOccupation Employer Head of House Sacramental InformationMarital Status* Married Single Widowed Seperated Divorced Annulled Marriage* Common Law Justice of the Peace Protestant Catholic Wedding Date MM slash DD slash YYYY Wedding - Church Wedding - City, State Baptism Yes - Catholic Yes - Other No Baptism Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Communion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No SpouseFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place Date of Death MM slash DD slash YYYY Cell PhoneWork PhoneEmail Attending School Yes No Name of School Grade10th Grade11th Grade12th GradeUnder GraduateGraduateOccupation Employer Spouse Sacramental InformationWere you previously married? Yes No Previous Marital Status* Widowed Divorced Annulled Baptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion - Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation - City, State Are there others living in the home?* Yes No 2 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 2 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 3 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 3 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 4 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 4 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 5 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 5 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 6 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 6 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 7 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender* Male Female Maiden Name Birth Date MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 7 - Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion Date MM slash DD slash YYYY Communion Church Comminion City, State Confirmation Yes No Confirmation - Date MM slash DD slash YYYY Confirmation Church Confirmation City, State Are there others living in the home?* Yes No 8 - Other Person Living in the HomeRelationship to Head of Household*Select OneAdultDaughterFatherFoster DaughterFoster SonGrandchildGrandfatherGrandmotherGrandsonHead of HouseHusbandMotherOtherSonStepchildFirst Name* Middle Name Last Name* Nick Name Gender Male Female Maiden Name Date of Birth MM slash DD slash YYYY Birth Place First Language Cell PhoneWork PhoneEmail Attending School Yes No Name of School GradePre K 4Pre K 51st2nd3rd4th5th6th7th8th9th10th11th12thUnder GraduateGraduateOccupation Employer 8 Sacramental InformationBaptism Yes - Catholic Yes - Other No Baptism - Date MM slash DD slash YYYY Baptism Church Baptism City, State 1st Communion Yes No Communion - Date MM slash DD slash YYYY Communion Church Communion City, State Confirmation Yes No Confirmation Date MM slash DD slash YYYY Confirmation Church Confirmation City, State IF there are others living in the home please start a new registration using the same family and head of household. Then add only other people living in the home. Other InformationHome Bound Yes No Is a family member unable to attend church and would like to be visited by a priest of receive Holy communion at home?Are there any relevant facts you want us to know about your family?NameThis field is for validation purposes and should be left unchanged. Δ