Join our Parish — Church of the Resurrection

New Parish Member Registration Form

Last Name "Family Name" (required)

Registration Date

Street Address (required)

City (required)

State

Zip

Your Email (required)

Home Phone (required)

Mobile Phone

Marriage Date and Location

Previous Parish

Adult 1

First Name (required)

Birth Date (required)

Marital Status (required)

Sex (required)

Catholic or other (required)

Baptism
(required)

First Eucharist (required)

First Penance (required)

Confirmed
(required)

Employer/School

Occupation

Work Phone

Work Email

Adult 2

First Name

Birth Date

Marital Status

Sex

Catholic or other

Baptism

First Eucharist

First Penance

Confirmed

Employer/School

Occupation

Work Phone

Work Email

Child 1

First Name

Birth Date

School

Grade

Sex

Catholic or other

Baptism

First Penance

First Eucharist

Confirmed

Child 2

First Name

Birth Date

School

Grade

Sex

Catholic or other

Baptism

First Penance

First Eucharist

Confirmed

Child 3

First Name

Birth Date

School

Grade

Sex

Catholic or other

Baptism

First Penance

First Eucharist

Confirmed

Child 4

First Name

Birth Date

School

Grade

Sex

Catholic or other

Baptism

First Penance

First Eucharist

Confirmed

Child 5

First Name

Birth Date

School

Grade

Sex

Catholic or other

Baptism

First Penance

First Eucharist

Confirmed

If you have any questions please contact the Parish Office

New Parish Member Registration Form

Adult 1

Adult 2

Child 1

Child 2

Child 3

Child 4

Child 5

Catholic Resources

Mass Times

Parish Office Hours