St. Faustina Parish

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Member Registration

- Welcome

Welcome to St. Faustina Parish!

Welcome to our Parish! We truly hope that you will find this to be your spiritual home, as well as your extended family! We invite you to reach out to us with your questions and we encourage you to find a way to fellowship and serve with us.
Please complete form below, for you and each member of your family in your household. Simply click SUBMIT when complete and it will be emailed to our office.
You should receive a package of offertory envelopes within 4-6 weeks. If you do not receive them, please let us know.
If you prefer to give your offering online, please see the Online Giving Tab for directions on how to set this up. And thank you for your generosity.
Thank you for registering and let us know if there is anything that we can do for you or your family.
Registration form for St. Faustina Parish Membership
The maximum number of form submissions has been reached. This form is currently not available.
- Date of Registration REQUIRED Please fill out this field. Please enter a date.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- PRIMARY STREET ADDRESS REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- PRIMARY Email REQUIRED Please fill out this field. Please enter an email address.
- PRIMARY Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Do you wish to receive envelopes or give online? REQUIRED Envelopes Online Giving Please fill out this field.
- If you choose to give Online, do you still wish to receive envelopes? (SEE HOMEPAGE TO SETUP ONLINE GIVING) REQUIRED Yes No Please fill out this field.
- Number of Members in Family REQUIRED Please fill out this field.
  
  Member 1
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 2
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 3
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 4
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 5
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 6
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 7
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 8
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 9
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Member 10
  
  Male/Female REQUIRED Male Female Please fill out this field.
  
  Relationship (head of household, spouse, son daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name, if applicable Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  If child, Name of School they attend Please enter valid data.
  
  Grade in School Please enter an integer (number).
  
  Marital Status (single, married, widowed, divorced, separated) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Place of Marriage Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  OCCUPATION (if still in school, list as student) Please enter valid data.
  
  EMPLOYER Please enter valid data.
  
  Phone Number of Employer Maximum 20 characters Please enter a phone number.
  
  Sacrament Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of Eucharist Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
Submit

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St. Faustina Registration form (printable form)
- Member Registration Form