Parish Registration Form

WELCOME TO ASCENSION CATHOLIC PARISH
New Parishioners
Please complete the form and remember to press the submit button
Registered Parishioners
If there are any changes to your information, please update and submit this form and we will revise accordingly

* Indicates required field

Family Name: *

Mailing Name: *

Date: ( yyyy/mm/dd ) *

Do you want to be on our mailing list? *

Yes No

Mailing Address: *

City: *

Primary Phone: *

Province: *

Postal Code: *

Pre-authorized Donation ? *

Yes No

Donation Envelopes? *

Yes No

For each family member, list the details on each person, start with the envelope holder, include all children and/or relative living in the same household.

Name 1:

Last *

Maiden *

First *

Middle *

Gender: *

Family Role: *

Baptized Catholic? *

Yes No

School / Grade: *

Date of Birth: ( yyyy/mm/dd ) *

Occupation: *

Other? Please specify: *

Email Address: *

Marital Status: *

Cell Phone: *

Name 2:

Last *

Maiden *

First *

Middle *

Gender: *

Date of Birth: ( yyyy/mm/dd ) *

Marital Status: *

Family Role: *

Occupation: *

Cell Phone: *

Baptized Catholic? *

School / Grade: *

Other? Please Specify: *

Email Address: *

Name 3:

Last *

Maiden *

Gender: *

Family Role: *

Baptized Catholic? *

School / Grade: *

First *

Date of Birth: ( yyyy/mm/dd ) *

Occupation: *

Other? Please Specify: *

Email Address: *

Middle *

Marital Status: *

Cell Phone: *

Name 4:

Last *

Maiden *

Gender: *

Family Role: *

Baptized Catholic? *

School / Grade: *

First *

Date of Birth: ( yyyy/mm/dd ) *

Occupation: *

Other? Please Specify: *

Email Address: *

Middle *

Marital Status: *

Cell Phone: *

Name 5:

Last *

Maiden *

Gender: *

Family Role: *

Baptized Catholic? *

First *

Date of Birth: ( yyyy/mm/dd ) *

Occupation: *

Middle *

Marital Status: *

Cell Phone: *

School / Grade: *

Other? Please Specify: *

Email Address: *

Name 6:

Last *

Maiden *

Gender: *

Family Role: *

Baptized Catholic? *

School / Grade: *

First *

Date of Birth: ( yyyy/mm/dd ) *

Occupation: *

Other? Please Specify: *

Email Address: *

Middle *

Marital Status: *

Cell Phone: *

Submit

PARISH REGISTRATION FORM

VATICAN

ASCENSION PRESS

SHALOM MEDIA

SALT + LIGHT