Parish Registration Form

Use the tab button to navigate easily through the form. 

Don’t be overwhelmed – all fields are optional except Email Address.
Just work from top to bottom.

Your information will only be used for Parish business such as school references, administration of the sacraments and other relevant Parish activities. 

The Parish Secretary and the Parish Priest control all access to the Parish database. 
Your information will not be provided to any third parties without prior permission.

I am an existing parishioner            
I am a new parishioner

GENERAL HOUSEHOLD INFORMATION

Household/Family Surname   

Home Phone Number   
Select if the home number is silent?

House/Unit Number and Street   

Suburb   

Post Code   

Postal Address (if different)   

Preferred Mobile Number        

Email Address (you must provide a valid email address)   

HOUSEHOLDER 1

Surname (if different to family name)   

First Name   

Title (Mr, Mrs, Miss, Ms, Other)   

Country of Birth   

Occupation   

Work Phone Number   

Religion   

Would you like to be:

A Special minister?    
A Reader?     
An Acolyte?     
A Member of the Choir?


HOUSEHOLDER 2

   
Surname (if different to family name)

   
First Name

   
Title (Mr, Mrs, Miss, Ms, Other)

   
Country of Birth

   
Occupation

   
Work Phone Number

   
Religion

Would you like to be:

A Special minister?    
A Reader?     
An Acolyte?     
A Member of the Choir?


PLANNED GIVING (envelopes will be supplied)

I am already contributing        I would like to start contributing

   
Name To Be Used For Planned Giving

R.C.I.A
Are you interested in becoming a Catholic?

   
Name of interested person

DEPENDENT CHILDREN IN THE HOUSEHOLD
CHILD 1

   
Surname (if different to family name)

   
First Name

   
Date of Birth           
Male         
Female

   
School/Tertiary Institution

   
School Year           
   
Religion

Sacraments Already Received:

Baptism?            
Eucharist?             
Confirmation?

CHILD 2

   
Surname (if different to family name)

   
First Name

   
Date of Birth           
Male         
Female

   
School/Tertiary Institution

   
School Year           
   
Religion

Sacraments Already Received:

Baptism?            
Eucharist?             
Confirmation?

CHILD 3

   
Surname (if different to family name)

   
First Name

   
Date of Birth           
Male         
Female

   
School/Tertiary Institution

   
School Year           
   
Religion

Sacraments Already Received:

Baptism?            
Eucharist?             
Confirmation?

CHILD 4

   
Surname (if different to family name)

   
First Name

   
Date of Birth           
Male         
Female

   
School/Tertiary Institution

   
School Year           
   
Religion

Sacraments Already Received:

Baptism?            
Eucharist?             
Confirmation?

 
Today’s Date