PARISH REGISTRATION Introduce Your Family *Young adults 21 and older, should register as a separate household FAMILY NAME(Required) PHONE NUMBER(Required)STREET ADDRESS(Required) CITY(Required) STATE(Required) ZIP CODE(Required) EMAIL NUMBER OF FAMILY MEMBERS BEING REGISTERED(Required)Please enter a number greater than or equal to 1.Family Member #1FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #2FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #3FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #4FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #5FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #6FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #7FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #8FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #9FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #10FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #11FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #12FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #13FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #14FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Family Member #15FIRST NAME(Required) MAIDEN NAME (IF APPLICABLE) LAST NAME SEX(Required) MALE FEMALE DATE OF BIRTH(Required)MONTH123456789101112DAY12345678910111213141516171819202122232425262728293031YEAR202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MARITAL STATUS(Required) MARRIED SINGLE DIVORCED ANNULLED ENGAGED WIDOWED SACRAMENTS RECEIVED(Required) BAPTISM FIRST COMMUNION CONFIRMATION EMPLOYMENT/SCHOOL WORK TITLE OR CURRENT GRADE LEVEL Parish EngagementWays to engage in the parish: Men's Ministry Women's Ministry Homebound Ministry Young Adult Ministry Rosary Sodality Knights of Columbus Maintenance/Upkeep Hospitality 150th Anniversary events Parish Festival Media/Communications Other How did you find St. Peter's?Type here What prayer intentions can we pray for at this time?Type here
