Join Our Parish

REGISTRATON

Register our family at the follow location: REQUIRED St. Jerome - Columbus St. Joseph - East Bristol St. Olaf - DeForest St. Patrick - Doylestown St. Thomas - Poynette Please fill out this field.

HOUSEHOLD CONTACT INFORMATION

Home 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.

Best phone number to reach your family REQUIRED Please fill out this field. Please enter a phone number.

This is a REQUIRED Cell Phone Landline Please fill out this field.

Previous Parish (Church name & location) Please enter valid data.

Do you wish to receive the Catholic Herald newspaper? ($10 six month subscription) REQUIRED Yes No Please fill out this field.

What is your preferred method for offertory donations? REQUIRED Mail envelopes to my home Give online Please fill out this field.

Please use THIS LINK to set up online giving. If you have questions, please contact the office and speak with Tracy.

Members of Household (please include all family members)

ADULT MEMBER #1

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

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

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

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth (01/01/1901) REQUIRED Please fill out this field. Please enter a date.

Gender REQUIRED Male Female Please fill out this field.

Sacraments Received (check all that apply) REQUIRED Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments Please fill out this field.

Marital Status REQUIRED Please fill out this field.

Date of Marriage (n/a if it doesn't apply) REQUIRED Please fill out this field. Please enter valid data.

Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.

Number of additional family members Please fill out this field.
Family Member 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 9
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 10
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 11
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.
Family Member 12
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism First Eucharist Confirmation Matrimony Have not received any of these Sacraments
- Religion (if not Catholic) REQUIRED Please fill out this field. Please enter valid data.