Parish Registration

You can now register online!

Or click here to print and fill in the registration form:
Parish Registration Form

St. Richard of Chichester – Online Registration

FAMILY REGISTRATION

Date:
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New Registration:*
Update:*
Family Name:*
Address:*
Home Phone:*
-
Cell Phone:
-
E-mail:*

HEAD OF HOUSEHOLD INFORMATION (OR SINGLE ADULT)

Name:
Maiden Name:
Checkbox:
DOB:*
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Birth Place (Town/State):
Ethnicity/ Religion:
Occupation:
Marital Status:
Type of service:
Ceremony Date:
Church:
City, State:
*(If Widowed) Deceased Name:
Date of Death:
City/State:
Baptism:
Church of Baptism:
Date of Baptism:
Reconciliation:
Church of Reconciliation:
Date of Reconciliation:
First Communion:
Church of First Communion:
Date of First Communion:
Confirmation:
Church of Confirmation:
Date of Confirmation:
Disabilities/ Special Needs:

SPOUSE INFORMATION (OR OTHER ADULT)

Name (spouse):
Maiden Name (spouse):
Checkbox (spouse):
DOB (spouse):
 / 
 / 
Birth Place Town/State:
Ethnicity/ Religion (spouse):
Occupation (spouse):
Marital Status (spouse):
Type of service (spouse):
Ceremony Date:(2)
Church:(2)
City, State:(2)
*(If Widowed) Deceased Name (spouse):
Date of Death:(2)
City/State:(2)
Baptism:(2)
Church of Baptism:(2)
Date of Baptism:(2)
Reconciliation:(2)
Church of Reconciliation:(2)
Date of Reconciliation:(2)
First Communion:(2)
Church of First Communion:(2)
Date of First Communion:(2)
Confirmation:(2)
Church of Confirmation:(2)
Date of Confirmation:(2)
Disabilities/ Special Needs:(2)
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CHILD OR OTHERS LIVING AT HOME (You only need to answer the fields that apply)

CHILD 1

1. Child First Name: (Last if different)
1. DOB/Where:
1. Baptism /Where:
1. F. Comm./ Where:
1. Penance/ Where:
1. Confirmation/ Where:
1. School:
1. Special Needs:


CHILD 2

2. Child First Name: (Last if different)
2. DOB/Where:
2. Baptism /Where:
2. F. Comm./ Where:
2. Penance/ Where:
2. Confirmation/ Where:
2. School:
2. Special Needs:

CHILD 3

3. Child First Name: (Last if different)
3. DOB/Where:
3. Baptism /Where:
3. F. Comm./ Where:
3. Penance/ Where:
3. Confirmation/ Where:
3. School:
3. Special Needs:

CHILD 4

4. Child First Name: (Last if different)
4. DOB/Where:
4. Baptism/Where:
4. F. Comm./ Where:
4. Penance/ Where:
4. Confirmation/ Where:
4. School:
4. Special Needs:

CHILD 5

5. Child First Name: (Last if different)
5. DOB/Where:
5. Baptism/Where:
5. F. Comm./ Where:
5. Penance/ Where:
5. Confirmation/ Where:
5. School:
5. Special Needs:

CHILD 6

6. Child First Name: (Last if different)
6. DOB/Where:
6. Baptism/Where:
6. F. Comm./ Where:
6. Penance/ Where:
6. Confirmation/ Where:
6. School:
6. Special Needs:
Is here anything else you would like us to know about you or your family? Is there something that the parish can do for you ?

I understand that by becoming a member of St. Richard Parish I am called to attend Mass regularly, use my contribution envelopes, and support the parish ministries.

NAME (signature):*
DATE:*
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