Forms for the Parish
Please complete this form and return it to the Rectory
We welcome you as a new member and thank you for adding to our parish vibrancy!
SAINTS PETER AND PAUL PARISH PARISH REGISTRATION FORM
ID/Envelope # ___________ Today’s Date ____________________ Date Original Registration ___/___/_____
FAMILY LAST NAME __________________________ Address ________________________________________
Family Title (circle one) Mr & Mrs Mr Mrs Miss Ms
City ___________________________ Zip _____________ Telephone ____________________ Unlisted? ____
E-Mail ______________________________________ Previous Parish? ___________________________________
Marital Status ____________ Date of Marriage ______________ Church/Place of Marriage ____________________
Ceremony by a Priest (Yes/No)? ____ Officiated by (Name of Priest/Minister/Judge/Other) _____________________
HEAD OF HOUSEHOLD SPOUSE (Maiden Name) ____________________________
Name _________________________________________ Name _________________________________________
Religion ______________________________________ Religion ________________________________________
Disability Yes/No Type ________________________ Disability Yes/No Type _____________________________
Place of Employment ____________________________ Place of Employment _____________________________
Occupation ________________Business Phone ________ Occupation ____________ Business Phone __________
Birthdate ___________________ Age ____________ Birthdate _____________________ Age ________________
Sacraments Sacraments
(Note dates received, or “Yes” if date unknown) (Note dates received, or “Yes” if date unknown)
Baptism ______ Confirmation ______ Baptism ______ Confirmation ______
Penance _____ 1st Communion ______ Penance ______ 1st Communion _____
E-Mail _______________________________________ E-Mail _________________________________________
In an emergency contact
Name _________________________ Address __________________________________ Phone _______________
City, State, Zip Code _______________________________________ Relationship __________________________
Please list information for all other members of the household on the reverse side of this form.
Children who have attained the age of 21, register separately unless handicapped or infirm.
Name ______________________________________ Name __________________________________________
Last First Middle Last First Middle
Relationship to Household _______________________ Relationship to Household _________________________
Birthdate ____________ Age __________ Sex ______ Birthdate ______________ Age __________ Sex ________
Disability Yes/No Type __________________________ Disability Yes/No Type ___________________________
School _____________________________ Grade ____ School _____________________________ Grade ____
Sacraments Sacraments
(Note dates received, or “Yes” if date unknown) (Note dates received, or “Yes” if date unknown)
Baptism ______ Confirmation ______ Baptism ______ Confirmation ______
Penance _____ 1st Communion ______ Penance ______ 1st Communion _____
Name _______________________________________ Name ___________________________________________
Last First Middle Last First Middle
Relationship to Household ________________________ Relationship to Household ________________________
Birthdate ______________ Age ________ Sex ________ Birthdate ______________ Age ________ Sex ________
Disability Yes/No Type __________________________ Disability Yes/No Type ___________________________
School _____________________________ Grade _____ School _____________________________ Grade ______
Sacraments Sacraments
(Note dates received, or “Yes” if date unknown) (Note dates received, or “Yes” if date unknown)
Baptism ______ Confirmation ______ Baptism ______ Confirmation ______
Penance _____ 1st Communion ______ Penance ______ 1st Communion _____
Name ___________________________________ Name _________________________________________
Last First Middle Last First Middle
Relationship to Household _________________________ Relationship to Household ________________________
Birthdate ______________ Age _________ Sex _______ Birthdate ______________ Age ________ Sex ________
Disability Yes/No Type __________________________ Disability Yes/No Type ___________________________
School _____________________________ Grade _____ School _____________________________ Grade ______
Sacraments Sacraments
(Note dates received, or “Yes” if date unknown) (Note dates received, or “Yes” if date unknown)
Baptism ______ Confirmation ______ Baptism ______ Confirmation ______
Penance _____ 1st Communion ______ Penance ______ 1st Communion _____
SSPP Census Form 11-17-09