Parish Registration

St. Stephen Church Registration

Family Name REQUIRED Please fill out this field. Please enter valid data.

Mailing REQUIRED Ms. Mrs. Mr. Mr. & Mrs. Please fill out this field.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Marital Status REQUIRED Single Married Engaged Divorced Widowed Please fill out this field.

Single Male / Husband Name Please enter valid data.

Birthdate Please enter a date.

Phone Number Please enter a phone number.

Email Please enter an email address.

Religion Please enter valid data.

Single Female / Wife Name Please enter valid data.

Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Birthdate Please enter a date.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email Please enter an email address.

Religion Please enter valid data.

CHILDREN Please enter valid data.

Child 1 First and Last name (if different) Please enter valid data.

Child 1 Birthdate Please enter a date.

Child 1 Sex Male Female

Sacraments Received Baptism Eucharist Reconciliation Confirmation

Child 2 First and Last name (if different) Please enter valid data.

Child 2 Birthdate Please enter a date.

Child 2 Sex Male Female

Sacraments Received Baptism Eucharist Reconciliation Confirmation

Child 3 First and Last name (if different) Please enter valid data.

Child 3 Birthdate Please enter an integer (number).

Child 3 Sex Male Female

Sacraments Received Baptism Eucharist Reconciliation Confirmation

Any additional children / information about your family.

Interested in Faith Formation for you or your children? Yes No RCIA Adult Faith Formation

Do you want to receive envelopes? Yes No

Or, would you like to give electronically? Yes Go to home page to sign up No

Would you like to receive the Catholic Review? Yes No

Would you like to receive weekly Flocknotes? Yes No

Are you interested in Parish Ministry? Faith Formation Catechist Lector Bereavement Choir / Music Ministry Scripture Study Usher Eucharistic Minister