Parish Registration

Date REQUIRED Please fill out this field. Please enter a date.

Prior Parish REQUIRED Please fill out this field. Please enter valid data.

I/We have lived at our current address: (months and/or years REQUIRED Please fill out this field. Please enter valid data.

NEW MEMBER: Saint Charles Borromeo Parish is my/our primary church that I/we have chosen to support with prayers, service and financial support. I/we wouid like to support the parish's operating expenses in the followijng manner:

Choose one option: Enroll in the Electronic Funds Transfer Offertory Program Receive offertory envelopes (if requesting offertory envelopes, please check one option below):

Select envelope option: Weekly Monthly Quarterly Annually

(1) PLEASE COMPLETE THIS SECTION:

FAMILY / LAST NAME REQUIRED Please fill out this field. Please enter valid data.

Mailing Salutation REQUIRED Mr/Mrs Mr Mrs Miss Ms Other Please fill out this field.

If other, please indicate salutation Please enter valid data.

Marital Status REQUIRED Married Single Divorced Separated Widowed Please fill out this field.

Home Phone No. REQUIRED Please fill out this field. Please enter valid data.

Unlisted? REQUIRED Yes No Please fill out this field.

Street 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.

(2) IF YOU ARE THE HEAD OF HOUSEHOLD OR SINGLE ADULT, PLEASE COMPLETE THIS SECTION:

First Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Maiden Please enter valid data.
Phone Please enter valid data.
Birthdate REQUIRED Please fill out this field. Please enter valid data.
Nationality Please enter valid data.
Graduated from Please enter valid data.
Year Graduated Please enter valid data.
Currently Attending Please enter valid data.
College Major Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Religion Please enter valid data.
Sacraments Received: Baptism First Communion Confirmation
Mass Attendance: Weekly Occasionally Seldom Not at all

(3) IF YOU ARE THE SPOUSE OR OTHER ADULT LIVING IN HOUSEHOLD, PLEASE COMPLETE THIS SECTION:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
First Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Maiden Please enter valid data.
Phone Please enter valid data.
Birthdate REQUIRED Please fill out this field. Please enter valid data.
Nationality Please enter valid data.
Graduated from Please enter valid data.
Year Graduated Please enter valid data.
Currently Attending Please enter valid data.
College Major Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Religion Please enter valid data.
Sacraments Received: Baptism First Communion Confirmation
Mass Attendance: Weekly Occasionally Seldom Not at all

1. CHILD LIVING AT HOME:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Baptism Please enter valid data.
Communion Please enter valid data.
School Please enter valid data.
Grade Please enter valid data.
Employment Please enter valid data.

2. CHILD LIVING AT HOME:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Baptism Please enter valid data.
Communion Please enter valid data.
School Please enter valid data.
Grade Please enter valid data.
Employment Please enter valid data.

3. CHILD LIVING AT HOME:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Baptism Please enter valid data.
Communion Please enter valid data.
School Please enter valid data.
Grade Please enter valid data.
Employment Please enter valid data.

4. CHILD LIVING AT HOME:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Baptism Please enter valid data.
Communion Please enter valid data.
School Please enter valid data.
Grade Please enter valid data.
Employment Please enter valid data.

5. CHILD LIVING AT HOME:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Baptism Please enter valid data.
Communion Please enter valid data.
School Please enter valid data.
Grade Please enter valid data.
Employment Please enter valid data.

Roman Catholic, Diocese of Cleveland

St Charles Borromeo

Parish Registration

St. Charles Borromeo Parish Membership Registration