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

City State / Province

Postal / Zip Code Country

HOME PHONE

Area Code Phone Number

CELL PHONE

Area Code Phone Number

EMAIL ADDRESS:

DATE YOU MOVED INTO THE PARISH

Day Month Year

ADULT MALE:

RELIGION:

BIRTH DATE

Month Day Year

BAPTIZED:

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

OCCUPATION:

ADULT FEMALE:

RELIGION:

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

OCCUPATION:

MARITAL STATUS: (select one)

MARRIED SINGLE OTHER

IF OTHER, PLEASE SPECIFY:

IF MARRIED:

Church/Place of Marriage:

Address/Location:

Date of Marriage:

Day Month Year

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

Yes No

OR

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

Yes No

Family Information: Kindly complete the following information about the other members of your household.

CHILD 1: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

SCHOOL:

CHILD 2: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

SCHOOL:

CHILD 3: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

CONFIRMED?

YES NO

SCHOOL:

CHILD 4: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

SCHOOL:

CHILD 5: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

SCHOOL:

CHILD 6: (Name and M or F)

BIRTH DATE:

Month Day Year

BAPTIZED?

YES NO

1ST COMMUNION?

YES NO

CONFIRMED?

YES NO

SCHOOL:

OFFICE USE:

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

Date

Month Day Year