New Parishioner : Good Shepherd

Family Name *

Title First Name *

Email Address *

Home Address *

City *

State *, Zipcode *

Home Phone Number *

Date of Birth *

Gender *

Male Female

Religion *

Catholic NonCatholic

Marital Status *

Single Married Divorced Widowed

In what area(s) of involvement (if any) were you actively involved in your former parish?

Adult #2 First Name

Adult #2 Date of Birth

Adult #2 Gender

Male Female

Adult #2 Religion**

Catholic NonCatholic

Adult #2 Marital Status

Single Married Divorced Widowed

In what area(s) of involvement (if any) was this adult actively involved in your former parish?

** If married to someone not of our faith, we welcome your spouse. Would s/he like to be included as a member of our parish, using both your names in our mailings?

Yes No

Child 1

Date of Birth c1

Gender c1

Male Female

Religion c1

Catholic NonCatholic

Grade c1

Child 2

Date of Birth c2

Gender c2

Male Female

Religion c2

Catholic NonCatholic

Grade c2

Child 3

Date of Birth c3

Gender c3

Male Female

Religion c3

Catholic NonCatholic

Grade c3

Child 4

Date of Birth c4

Gender c4

Male Female

Religion c4

Catholic NonCatholic

Grade c4

Child 5

Date of Birth c5

Gender c5

Male Female

Religion c5

Catholic NonCatholic

Grade c5

Are you interested in our Faith Formation program(s) for your child(ren)?

Yes No

Are there any Other(s) living with you?***

Gender_o

Male Female

Religion_o

Catholic NonCatholic

Date of Birth_o

*** Does the individual(s) wish to be registered as part of your family?

Yes No

Former Parish *

Former Parish City *, State *

I/we give permission to have our photo publicly displayed at Good Shepherd. *

Yes No

What is (male) your occupation/employer?

What is (female) your occupation/employer?

What brings you to Good Shepherd?*

Please send e-mail regarding (check all that apply):

Vital Parish Mailings
Adult Ministry & Education
Youth Ministry & Education
Seasonal Worship Schedule
Major Social Events
Send All Emails

Enter Word Verification in box *

the community of
THE GOOD SHEPHERD

A Catholic Parish

register in the parish

New Parishioner/Household Registration Form

the community of THE GOOD SHEPHERD

A Catholic Parish

register in the parish

New Parishioner/Household Registration Form

the community of
THE GOOD SHEPHERD