Roman Catholic Parish
of Christ the King

New Parishioner Registration Form

Please fill out this form as completely as you can. Thank you.
(*Indicates essential information)

*Family Name (Surname):

*Address: *City:

*Postal Code: *Phone Number:

*Email:

Request Donation Envelopes: Yes Please No Thank-you
Just like your family at home, your parish family cannot function without the support of all of it's members. Your weekly contribution is a part of your Eucharistic offering at the Lord's table, and makes all of the spiritual, social, and charitable good works of our parish community possible. Charitable Receipts are issued each year for tax purposes. Please give generously.

I would like AFT (Automated Funds Transfer) information to ensure I do not forget to help support my parish family.
Yes Please - It's easy to forget on my way out the door.
No Thank-you - I'll be sure to remember on my own.

Household Type
To Help us better understand the kinds of pastoral needs within our parish community, please select the one option that applies to your home situation.

Never Been Married

Single Adult - No Dependents
Single Adult - No Dependents. Still Residing with Parents.
Single Adult - Dependents Under 19
Common-law - No Dependents
Common-law - with dependents under 19
Member of a Religious Community

Previously or Presently Married

Married - Both Catholic
Married - One spouse Catholic
Single Parent - dependents under 19
Separated - No dependents
Separated - With dependents Under 19
Divorced - No dependents
Divorced - dependents Under 19
Widowed - No dependents
Widowed - with dependents under 19

If Married Please Include Your Anniversary Date: Day: Month: Year:

Individual Family Member Information:
Please give us a little information about the adults members of your household. For this section consider only the heads of househole. If dependents are under the age of 19, please list them separately below. If dependents are over the age of 19, continue tor eside at home, and attend Christ the King on a regular basis, we would ask that they complete their own registration for as adult members.

Person Completing This Form:
*First Name:
*Middle Name(use comma to separate multiple names):
*Last Name:

Date of Birth: Day: Month: Year:

Marital Status: Religion: Occupation:

Particular Talents, Skills, and Hobbies:

Spouse (if applicable):
First Name:
Middle Name(use comma to separate multiple names):
Last Name:

Date of Birth: Day: Month: Year:

Marital Status: Religion: Occupation:

Particular Talents, Skills, and Hobbies:

Dependents Information:
Please share some information regarding those children who reside in your home up to the age of 19. Be sure to indicate which of the sacraments they have already received. If any have already been baptized in another parish and still have sacraments they will need to receive here at Christ the King, be sure to bring a copy of their baptism certificate into the office for our files.

Child 1:
Name: Date of Birth: Day: Month: Year:

School:

Sacraments (select all that apply); Baptism Confirmation Eucharist Reconciliation

Child 2:
Name: Date of Birth: Day: Month: Year:

School:

Sacraments (select all that apply); Baptism Confirmation Eucharist Reconciliation

Child 3:
Name: Date of Birth: Day: Month: Year:

School:

Sacraments (select all that apply); Baptism Confirmation Eucharist Reconciliation

Child 4:
Name: Date of Birth: Day: Month: Year:

School:

Sacraments (select all that apply); Baptism Confirmation Eucharist Reconciliation

Child 5:
Name: Date of Birth: Day: Month: Year:

School:

Sacraments (select all that apply); Baptism Confirmation Eucharist Reconciliation

Special Needs:
Need Communion brought to someone who is ill or shut-in? Need a ride to Mass? Looking for ways to grow in faith or a particular parish group you'd like to join? Please let us know how we can help you.

Thank-You for using our on-line Parishioner Registration Form. You will be contacted by parish staff regarding your registration ASAP. Keep us informed! let us know asap if there are any changes to the information you've provided to us today by contacting the parish office.
(clicking 'submit' will send us the information you listed above directly to us)