SFOA New Parishioner Registration

Welcome to St. Francis of Assisi Mission!

Family Information

Today's Date

Required* //

Primary/Family email address

Required*

Mailing Address

Street 1*

Street 2

City*

State*

Zip*

List (Dropdown)

Are your physical and mailing addresses the same? *

Home/Primary Phone

Required* --

For your family file:

Please check all that apply

	Publish Phone
	Publish Address
	Publish Email
	Provide Contribution Envelopes

Head of Household

Title

Required*

Name

First Name*

Middle Name

Last Name*

Full Legal Name

Suffix

Nickname/ Called By

Gender

Required*

E-mail

Date of Birth

Required* //

City, State of Birth

Required*

Marital Status

Required*

Cell Phone

--

Work Phone

-- ext

Sacraments Received
Required*

	None received
	Baptized
	1st Communion
	1st Confession
	Confirmation
	Sacrament of Matrimony

Spouse/Other Adult

Title

Name

First Name

Middle Name

Last Name

Full Legal Name

Suffix

Nickname/ Called By

E-mail

Date of Birth

//

City, State of Birth

Marital Status

Cell Phone

--

Work Phone

-- ext

Sacraments Received

	None Received
	Baptized
	1st Communion
	1st Confession
	Confirmation
	Sacrament of Matrimony

Dependent #1 Information

Name

First Name

Middle Name

Last Name

Full complete legal name

Suffix

Nickname/ Called By

Date of Birth

//

City, State of Birth

Birth Parent #1 Name

First Name

Middle Name

Last Name

Birth Parent #2 Name

First Name

Middle Name

Last Name

Sacraments Received

	None Received
	Baptism
	1st Communion
	1st Confession
	Confirmation

Dependent #2 Information

Name

First Name

Middle Name

Last Name

Full complete legal name

Suffix

Nickname/ Called By

Birth Date

//

City, State of Birth

Birth Parent #1 Name

First Name

Middle Name

Last Name

Birth Parent #2 Name

First Name

Middle Name

Last Name

Sacraments Received

	None Received
	Baptism
	1st Communion
	1st Confession
	Confirmation

Dependent #3 Information

Name

First Name

Middle Name

Last Name

Full complete legal name

Suffix

Nickname/ Called By

Birth Date

//

City, State of Birth

Birth Parent #1 Name

First Name

Middle Name

Last Name

Birth Parent #2 Name

First Name

Middle Name

Last Name

Sacraments Received

	None Received
	Baptism
	1st Communion
	1st Confession
	Confirmation

Dependent #4 Information

Name

First Name

Middle Name

Last Name

Full complete legal name

Suffix

Nickname/ Called By

Birth Date

//

City, State of Birth

Birth Parent #1 Name

First Name

Middle Name

Last Name

Birth Parent #2 Name

First Name

Middle Name

Last Name

Sacraments Received

	None Received
	Baptism
	1st Communion
	1st Confession
	Confirmation

More dependents?

Do you have more than 4 dependents to register?	If yes, please complete an additional form for the remaining dependents