General Information

* Registration Date

/ /

* Family Name

* Address

* City

* State

* Zip

Phone

( ) - ext

Email Address

Add to Email List?

Yes
No

Permission to publish telephone, address and e-mail in Parish Directory:

Phone

Yes
No

Address

Yes
No

Email

Yes
No

Head of Household Information

* Salutation

* FIrst Name

Middle Name

Last Name (if different)

* Date of Birth

/ /

Occupation

* Catholic?

Yes
No

If no, what Religion?

* Baptized?

Yes
No

* First Communion?

Yes
No

* Confirmed?

Yes
No

RCIA?

Yes
No

If yes, what church?

Marital Status

Single
Married

Marriage Date

/ /

Priest or Deacon Name

Church

City

State

Spouse Information

Salutation

First Name

Middle Name

Last Name (if different)

Maiden Name

Date of Birth

/ /

Occupation

Catholic?

Yes
No

If no, what religion?

Baptized?

Yes
No

First Communion?

Yes
No

Confirmed?

Yes
No

RCIA?

Yes
No

If yes, what church?

Dependent Children

Child 1

First Name

Middle Name

Last Name

Gender

Male
Female

Date of Birth

/ /

Baptized?

Yes
No

Church

City, State

Date (if known)

First Communion?

Yes
No

Church

City, State

Date (if known)

Confirmation

Yes
No

Church

City, State

Date (if known)

Child 2

First Name

Middle Name

Last Name

Gender

Male
Female

Date of Birth

/ /

Baptized?

Yes
No

Church

City, State

Date (if known)

First Communion?

Yes
No

Church

City, State

Date (if known)

Confirmation

Yes
No

Church

City, State

Date (if known)

Child 3

First Name

Middle Name

Last Name

Gender

Male
Female

Date of Birth

/ /

Baptized?

Yes
No

Church

City, State

Date (if known)

First Communion?

Yes
No

Church

City, State

Date (if known)

Confirmation

Yes
No

Church

City, State

Date (if known)

Child 4

First Name

Middle Name

Last Name

Gender

Male
Female

Date of Birth

/ /

Baptized?

Yes
No

Church

City, State

Date (if known)

First Communion?

Yes
No

Church

City, State

Date (if known)

Confirmation

Yes
No

Church

City, State

Date (if known)

Bulletin

Coming Up

Calendar

Photo Gallery

Event Setup

The Church In the News

Archdiocese of Detroit Events Calendar

Local Events

Children's Ministry K-8

High School Youth Ministry

Young Adults

Adult Enrichment

Sacramental Preparation

Becoming Catholic (OCIA)

Sacraments

Becoming Catholic (OCIA)

Worship

Evangelization

Formation & Discipleship

Worship

Parish Community Life

Getting Involved

Giving

High School Youth Ministry

Becoming Catholic (OCIA)

Discern the Priesthood

Registration

General Information

Head of Household Information

Spouse Information

Dependent Children

Child 1

Child 2

Child 3

Child 4

Mon & Tues	9:00 am - 7:30 pm
Wed & Thurs	9:00 am - 5:00 pm
Fri	9:00 am - 12:00 pm
Closed for Lunch	12:00 pm - 1:00 pm