SIJ Parish Registration Family Last Name Would you like Offertory Envelopes? Yes No *Would you like to receive up-to-the-minute news about important parish information and events? Yes No Address Home Phone Home Email Head of Household First Name Middle Name Maiden Name Nickname Cell Phone Email Date of Birth Gender M F Religion Primary Language Ethnicity Marital Status Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Spouse Information First Name Middle Name Maiden Name Nickname Cell Phone Email Date of Birth Gender M F Religion Primary Language Ethnicity Marital Status Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Child Name First Name Middle Name Nickname Date of Birth Gender M F Religion Primary Language Ethnicity Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Child Name First Name Middle Name Nickname Date of Birth Gender M F Religion Primary Language Ethnicity Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Child Name First Name Middle Name Nickname Date of Birth Gender M F Religion Primary Language Ethnicity Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Child Name First Name Middle Name Nickname Date of Birth Gender M F Religion Primary Language Ethnicity Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Child Name First Name Middle Name Nickname Date of Birth Gender M F Religion Primary Language Ethnicity Sacraments Received (Check all that apply): Baptism 1st Eucharist Confirmation Catholic Marage Please list any other information you wish to share about your family (special needs, shut-in, etc.): Send