our lady of the pillar family last name: a catholic church...
TRANSCRIPT
Home Address:____________________________________________City: _____________________________State:__________Zip:______-______
Mailing Address:__________________________________________City: _____________________________State:__________Zip:______-______
Home Phone (_____) ____________________________ Family Email:________________________________________________________
Sex: Male / Female Marital Status __________________________________ Sex: Male / Female Marital Status __________________________________
DOB (mm/dd/yyyy): ________________________________________________________ DOB (mm/dd/yyyy): ________________________________________________________
Email:_____________________________________________________________________ Email:_____________________________________________________________________
Work Phone/Cell Phone:_____________________________________________________ Work Phone/Cell Phone:_____________________________________________________
First Language:_____________________________________________________________ First Language:_____________________________________________________________
Occupation/Employer:_______________________________________________________ Occupation/Employer:_______________________________________________________
Sacramental Info: Sacramental Info:
Baptized Catholic? First Eucharist? Confirmation?
Valid Catholic Marriage? Date: _________________________________________
Baptized Other? If other, please indicate: ___________________________________
If baptized into another Religion, have you been received into Catholic Church?
Baptized Catholic? First Eucharist? Confirmation?
Valid Catholic Marriage? Date: _________________________________________
Baptized Other? If other, please indicate: ___________________________________
If baptized into another Religion, have you been received into Catholic Church?
Individual and Family Registration Form
OUR LADY OF THE PILLARA Catholic Church on the Coastside
Family Last Name: __________________________
Registration Date: __________________________
*Envelope Number: ___________________________*for office use
Full Name: __________________________________________________________ Full Name: __________________________________________________________Full Name:
INDIVIDUAL ADULT MEMBER INFORMATION
Husband/Father Wife/Mother
Relationship First Name Last Name DOB (mm/dd/yyyy) Grade School Sacramental Info
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
Son
Daughter
Parent
Other
Baptized Catholic
1st Eucharist
Confirmation
CHILDREN & OTHER DEPENDENTS LIVING WITH YOU
1. Would you like to receive Sunday Offering envelopes? Yes No Not Sure
2. Would you like assistance setting up an online giving account? Yes No Not Sure
3. Would you like to have a priest do a house blessing? Yes No Not Sure
4. Would you like to have a priest come to your home to meet your family? Yes No Not Sure
5. Would you like to schedule a time to meet with a priest at our parish? Yes No Not Sure
6. Are there any particular ministries that you would like to get involved in?
7. Isthereanythingelseyouwouldliketosharewithus?
ADDITIONAL QUESTIONS AND COMMENTS