• Parish Registration Form
• Parishioner Update Form
• Ministry Signup Form
• Prayer Request

Parish Forms   >   Parish Registration Form

Thank you for your interest in St. Andrew Catholic Church. 

Please fill out the form below.  If you have more children that spaces below, please fill out a second form for the children only.  Make sure that you check the "Additional Form" box below and include the surname on the second, third, etc. forms.

General
Submission type*	1st Form Additional Form Information Update
Comments	Please enter any special comments for the office staff
Household information Household information
Family Surname*
House and Street Address*
City*
Zip Code*
Primary Phone Number*
Cell phone 1
Cell phone 2
Email Address
Status*	Choose one New to St. Andrew Returning to St. Andrew Updated family information
Offering	(Select One) Choose one Weekly Envelopes Electronic Funds Transfer (EFT)   Please select your preferred method of donation
Adult 1 Head of household
Last Name
First Name
Middle Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
Occupation
Employer
Business Phone
Business Email
Preferred contact method	Phone Email
Baptism	Have you been baptized? Yes No
1st Eucharist	Yes No
Confirmation	Yes No
Marriage	Yes No
Date	(MM/DD/YYYY)
Adult 2 Other adult
Last Name
First Name
Middle Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
Occupation
Employer
Business Phone
Business Email
Preferred Contact Method	Phone Email
Baptism	Yes No
1st Eucharist	Yes No
Confirmation	Yes No
Dependent 1 Household dependent
Last Name
First Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
School
Grade
Baptism	Yes No
Church
City
State
Date	(MM/DD/YYYY)
1st Reconciliation	Yes No
Date	(MM/DD/YYYY)
1st Eucharist	Yes No
Date	(MM/DD/YYYY)
Confirmation	Yes No
Date	(MM/DD/YYYY)
Health concerns / allergies
Dependent 2 Household dependent
Last Name
First Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
School
Grade
Baptism	Yes No
Church
City
State
Date	(MM/DD/YYYY)
1st Reconciliation	Yes No
Date	(MM/DD/YYYY)
1st Eucharist	Yes No
Date	(MM/DD/YYYY)
Confirmation	Yes No
Date	(MM/DD/YYYY)
Health Concerns / Allergies
Dependent 3 Household dependent
Last Name
First Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
School
Grade
Baptism	Yes No
Church
City
State
Date	(MM/DD/YYYY)
1st Reconciliation	Yes No
Date	(MM/DD/YYYY)
1st Eucharist	Yes No
Date	(MM/DD/YYYY)
Confirmation	Yes No
Date	(MM/DD/YYYY)
Health Concerns / Allergies
Dependent 4 Household dependent
Last Name
First Name
Preferred Nickname
Birthdate	(MM/DD/YYYY)
Sex	Male Female
School
Grade
Baptism	Yes No
Church
City
State
Date	(MM/DD/YYYY)
1st Reconciliation	Yes No
Date	(MM/DD/YYYY)
1st Eucharist	Yes No
Date	(MM/DD/YYYY)
Confirmation	Yes No
Date	(MM/DD/YYYY)
Health Concerns / Allergies
Security Code*	(Enter the code above)