St. Francis Xavier Catholic Church Registration Form

To register with St. Francis Xavier Parish please complete the registration form below.

Personal and Family Information

Marital Status

Address and Contact Information

Resident Status

Marriage Information

Where you married by a Catholic Priest?

Emergency Contact Information

Household Head Information

Catholic?
Sacraments Received

Spouse Information

Catholic?
Sacraments Received

Children Information

List children under 18 years of age. Show last name only when different from family name above.

Catholic?
Sacraments Child 1 Received
Catholic?
Sacraments Child 1 Received
Catholic?
Sacraments Child 1 Received

Additional Information Requests

I would like more information on the following *

Privacy Preferences

All information provided is Confidential. The parish will publish the "Welcome our new members" list every month in the bulletin. Please check the NO box below if you do not want your name published.