Join Our Parish

Welcome to Resurrection! We are delighted you are joining us! Please tell us about yourself and your household.

Parish Registration Form

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This field is for validation purposes and should be left unchanged.

Primary Household Contact Name(Required)

First Last

Gender(Required)

Male

Female

Prefer Not to Say

Date of Birth(Required)

Phone(Required)

Cell phone?(Required)

Yes

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Adults (18+)

Do you need to add an additional adult to your household?(Required)

Yes

First Additional Adult

First Adult (18+)

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

Phone

Cell phone?

Yes

Do you need to add a second additional adult to your household?

Yes

Second Additional Adult

Second Adult (18+)

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

Phone

Cell phone?

Yes

Children

Do you need to add a child to your household?(Required)

Yes

First Child

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

Do you need to add a second child to your household?

Yes

Second Child

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

Do you need to add a third child to your household?

Yes

Third Child

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

Do you need to add a fourth child to your household?

Yes

Fourth Child

First Last

Relationship to Primary Contact

Gender

Male

Female

Date of Birth

How did you hear about Resurrection Church

How'd you hear about us?(Required)

What Sacraments have been received?

Primary Name(Required)

First

Religion(Required)

Baptism (Church, Date, Place)(Required)

First Communion (Church, Date, Place)(Required)

Do you need to add a second household member's sacraments?(Required)

Yes

Second Household Member

Second Person's Name

First

Second Person's Religion

Second Person's First Communion (Church, Date, Place)

Second Person's Baptism (Church, Date, Place)

Do you need to add a third household member's sacraments?

Yes

Third Household Member

Third Person's Name

First

Third Person's Religion

Third Person's Baptism (Church, Date, Place)

Third Person's First Communion (Church, Date, Place)

Do you need to add a fourth household member's sacraments?

Yes

Fourth Household Member

Fourth Person's Name

First

Fourth Person's Religion

Fourth Person's Baptism (Church, Date, Place)

Fourth Person's First Communion (Church, Date, Place)

Do you need to add a fifth household member's sacraments?

Yes

Fifth Household Member

Fifth Person's Name

First

Fifth Person's Religion

Fifth Person's Baptism (Church, Date, Place)

Fifth Person's First Communion (Church, Date, Place)

Do you need to add a sixth household member's sacraments?

Yes

Sixth Household Member

Sixth Person's Name

First

Sixth Person's Religion

Sixth Person's Baptism (Church, Date, Place)

Sixth Person's First Communion (Church, Date, Place)

Marital Status (Single, Married, Divorced, Widowed)

Primary Name(Required)

First Maiden Name (if applicable)

Status (Single, Married, Divorced, Widowed)(Required)

Occupation(s)(Required)

Name

First Maiden Name (if applicable)

Status (Single, Married, Divorced, Widowed)

Occupation(s)

How would you like to share your financial gift?(Required)

Please send me contribution envelopes

I will make contributions electronically on the website at www.rescatholic.org