New Member Registration

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Parish Registration Form

We're so happy that you've chosen to join our faith family!

Church Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Information Update

Please Select Your Primary Parish

Divine Savior Parish, Fredonia

Our Lady of the Lakes Parish, Random Lake

Family Surname

Date

Street Address

City

State

Zip

Do you live in the area year round or seasonally?

Year Round

Seasonally

Preferred Language

English

Spanish

Head of Household - Marital Status

Single

Married

Separated

Divorced

Widowed

Head of Household - First Name

Head of Household - Last Name

Head of Household - Primary Phone Number

Head of Household - Email Address

Receive Parish Emails?

Yes

No

Head of Household - Date of Birth

Head of Household - Occupation

Head of Household - Sacraments Completed

Baptism

1st Communion

Confirmation

Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

Spouse - First Name

Spouse - Last Name

Spouse - Primary Phone Number

Spouse - Email Address

Receive Parish Emails?

Yes

No

Spouse - Date of Birth

Spouse - Occupation

Spouse - Sacraments Completed

Baptism

First Communion

Confirmation

Spouse - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Child - Date of Birth

Child - School Attending

Child - Sacraments Completed

Baptism

1st Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

Child #2 - First Name

Child #2 - Last Name

Child #2 - Date of Birth

Child #2 - School Attending

Child #2 - Sacraments Completed

Baptism

1st Communion

Confirmation

Child #2 - Church of Baptism

City

State

Additional Notes (If Applicable)

Child #3 - First Name

Child #3 - Last Name

Child #3 - Date of Birth

Child #3 - School Attending

Child #3 - Sacraments Completed

Baptism

1st Communion

Confirmation

Child #3 - Church of Baptism

City

State

Additional Notes (If Applicable)

I would like to learn more about:

Faith Formation

Sacraments

Music Ministry

Men's Ministry

Women's Ministry

Youth Ministry

Vacation Bible School

Event Volunteering

Mass Ministries

Other

If Other, please specify

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