Saint Anthony Catholic Church Registration Form
PLEASE PRINT:
Family Last Name_______________________________________________________
Address________________________________________P.O. Box_________Phone__________________
City___________________________________State_________________________Zip________________
E-Mail
Address_________________________________Date
Registered___________________________
Would you like to receive
contribution envelopes (circle one)
Yes
No
Electronic Fund Donation
Available in January 2007. Are you interested this option?
Yes
No
Marital Status: (Circle
One) Married
Single
Widowed Separated/Divorced
ADULT
MEMBER INFORMATION:
HEAD OF HOUSE:
First & Last
Name_____________________________________________________
Birthdate________________________________________________________
(circle one) Male
Female
Place of
Employment________________________________________Phone #______________________
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church________________________________City &
State_______________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church________________________________City &
State_______________________________
Date of
Confirmation_____________________________________________________________________
Name of
Church________________________________City &
State_______________________________
Date of
Marriage________________________________________________________________________
Name of
Church________________________________City &
State_______________________________
SPOUSE:
First & Maiden
Name___________________________________________________________
Birthdate________________________________________________________
(circle one) Male
Female
Place of
Employment____________________________________________Phone #__________________
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church______________________________________City &
State_________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church______________________________________City &
State_________________________
Date of
Confirmation_____________________________________________________________________
Name of
Church______________________________________City &
State_________________________
Date of
Marriage________________________________________________________________________
Name of
Church______________________________________City &
State_________________________
CHILDREN INFORMATION (For All Children in
Household Under 18)
First & Last
Name_______________________________________________________________________
Birthdate_____________________________________________________(Circle
One) Male
Female
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church_______________________________________City &
State________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church________________________________________City &
State_______________________
Date of
Confirmation_____________________________________________________________________
Name of Church
________________________________________City & State______________________
__
_======================================================================
CHILD
First & Last
Name_______________________________________________________________________
Birthdate_____________________________________________________(Circle
One) Male
Female
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church_______________________________________City &
State________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church________________________________________City &
State_______________________
Date of
Confirmation_____________________________________________________________________
Name of Church
________________________________________City & State______________________
=====================================================================
CHILD
First & Last
Name_______________________________________________________________________
Birthdate_____________________________________________________(Circle
One) Male
Female
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church_______________________________________City &
State________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church________________________________________City &
State_______________________
Date of
Confirmation_____________________________________________________________________
Name of Church
________________________________________City & State______________________
====================================================================
CHILD
First & Last
Name_______________________________________________________________________
Birthdate_____________________________________________________(Circle
One) Male
Female
Religion_______________________________________________________________________________
Date of
Baptism_________________________________________________________________________
Name of
Church_______________________________________City &
State________________________
Date of 1st
Communion___________________________________________________________________
Name of
Church________________________________________City &
State_______________________
Date of
Confirmation_____________________________________________________________________
Name of Church
________________________________________City & State______________________
If you need more room please use the back of the
registration form.
====================================================================
Please put the name of the person in your family
that is a member of:
Altar & Rosary Society
(please also put which circle you are a member of)__________________________
______________________________________________________________________________________
Archdiocesan Council of
Women
_________________________________________________________
Associates of St. Francis
of Assisi___________________________________________________________
Catholic Daughters of
Americas____________________________________________________________
Catholic Youth
Group____________________________________________________________________
Christian Family
Movement_______________________________________________________________
Church Maintenance
Committee____________________________________________________________
Church
Environmental/Decorating
Committee_________________________________________________
Extraordinary Eucharistic
Minister__________________________________________________________
Funeral Dinner
Committee________________________________________________________________
Hospitality
Committee____________________________________________________________________
Knights of
Columbus_____________________________________________________________________
Knights of
Mass
Lector____________________________________________________________________________
Legion of
Mary_________________________________________________________________________
Maintenance Committee For
Homebound of Parish_____________________________________________
Hospital Eucharistic
Minister______________________________________________________________
Marriage Prep
Instructor__________________________________________________________________
Nursing Home Eucharistic
Minister_________________________________________________________
Organist/Cantor/Choir___________________________________________________________________
Parish Advisory
Council__________________________________________________________________
Parish Finance
Council___________________________________________________________________
Prison
Ministry_________________________________________________________________________
Religious Education
Program______________________________________________________________
RCIA – Rite of Christian
Initiation of Adults Program___________________________________________
Right to Life
Group______________________________________________________________________
Rosary
Committee_______________________________________________________________________
Mass
Servers___________________________________________________________________________
Snow Removal & Lawn Mowing
Committee_________________________________________________
St. Anthony Catholic School
Student________________________________________________________
St. Stephen the Martyr
Secular Franciscan Order_______________________________________________
Ushers________________________________________________________________________________
Young at Heart Senior
Citizen Group________________________________________________________
Are you interested in
information on any of the above ministries?__________________________________
If so, which
ones?_______________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
May we call you for a
donation of a salad or cake for funeral dinners?______________________________
May we call you to assist
at the annual fall bazaar?_____________________________________________
NOTES:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________