PARISH REGISTRATION FORM

PARISH REGISTRATION FORM
Holy Rosary Parish

139 Martin Street, Milton, ON L9T 2R3 Phone: 905-878-6535

Email: reception@holyrosaryparish.ca
Welcome to Holy Rosary Parish. We are very happy that you wish to become part of our Parish family. All information provided is strictly confidential and is used only for the provision of pastoral care to members of the Parish. It is not used for any commercial purposes.

Please take a few minutes to fill in this form. Then scroll to the bottom of the form and click on the SUBMIT button.
FAMILY NAME
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
HOME PHONE

Area CodePhone Number
CELL PHONE

Area CodePhone Number
EMAIL ADDRESS:
DATE YOU MOVED INTO THE PARISH

DayMonthYear
ADULT MALE:
RELIGION:
BIRTH DATE

MonthDayYear
BAPTIZED:

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
OCCUPATION:
ADULT FEMALE:
RELIGION:
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
OCCUPATION:
MARITAL STATUS: (select one)

MARRIEDSINGLEOTHER
IF OTHER, PLEASE SPECIFY:
IF MARRIED:
Church/Place of Marriage:
Address/Location:
Date of Marriage:

DayMonthYear
Would you like to receive Offering Envelopes as a means of supporting the Parish?

YesNo
OR
Would you like to support the Parish through Pre-Authorized Debit of your account? (An application will be mailed to you.)

YesNo
Family Information: Kindly complete the following information about the other members of your household.
CHILD 1: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
SCHOOL:
CHILD 2: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
SCHOOL:
CHILD 3: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
CONFIRMED?

YESNO
SCHOOL:
CHILD 4: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
SCHOOL:
CHILD 5: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
SCHOOL:
CHILD 6: (Name and M or F)
BIRTH DATE:

MonthDayYear
BAPTIZED?

YESNO
1ST COMMUNION?

YESNO
CONFIRMED?

YESNO
SCHOOL:
OFFICE USE:

Actions required	Completed
Funds	▢
Letter of Welcome	▢
Parish Data Systems	▢
Offertory envelopes prepared	▢
Pre-Authorized Debit	▢

Date

MonthDayYear
Should be Empty: