Parish Registration rkuntzman@ctitech.com General Information What parish would you like to register with?St. MarySt. RitaHoly Trinity Family Last Name: Address Line #1: Address Line #2: City: State: Zip: Home Phone #: Cell Phone #: Email: Will you use Offertory envelopes?YesNo Registrant First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birthdate: Occupation: Business Phone: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Marital Status:MarriedMarried by a Catholic PriestSingleWidowedDivorced Marriage Date: Spouse First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birthdate: Occupation: Business Phone: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Marital Status:MarriedMarried by a Catholic PriestSingleWidowedDivorced Marriage Date: Add a child Child 1 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 2 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 3 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 4 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 5 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 6 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 7 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 8 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed Add a child Child 9 First Name: Middle Name: Last Name (if different) Title:—Please choose an option—Mr.Mrs.MissMs.Dr. Birth Date: Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed
