Day of Spiritual Reflection, November 9, 2019 - Registration. Everyone is Invited. Childcare Available!
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Parish Registration Form

Welcome New Member of St. Ann’s:

Deciding on a church home is an important step in becoming established in a local community and we are so happy that you are becoming members of this parish community. We hope that you will soon feel comfortable and at home with us and will begin to be involved in parish life.

For the last few years St. Ann’s has been experiencing a remarkable period of growth and that growth requires us to rethink our identity as a parish community. Long a primarily retired community, we are now a delightful mix of young and old, married and single, working and retired. Every racial and ethnic group can be found here and we celebrate in the richness of our diversity.

Ministries, programs and services spring from the felt needs of our community and we are determined to be a support of presence in the larger community as well.

Above all else, we are a community of those who make every effort to be faithful to the call of the Gospel within our Roman Catholic tradition while being open and welcoming to people of every tradition. Our highest priority is our communal worship and prayer and, flowing from that prayer, our efforts to put our faith into concrete action.

In the name of our entire parish family I welcome you to St. Ann’s and hope that you will grow and prosper here. I look forward to your becoming rooted and involved here as, together, we seek to be good and faithful disciples of the

Lord Jesus.

Sincerely in Christ,

Rev. Andrzej Jurkiewicz

Parochial Administrator

Family Information

Name

First Name*

Last Name*

Home Address

Street 1*

Street 2

City*

State*

Zip*

Home Phone

Required* --

List (Multiple Choice)

Unlisted Number?

Year Arrived at the Parish

What Mass do you usually attend?

Do you want us to mail you offertory envelopes?
Required*

	Yes
	No

Winter Resident?

If so, what months are you here?

Preferred method of contact
Required*

	mail
	cell
	home phone
	email

Man's Information

Name

First Name

Last Name

Cell Phone

--

Email

Nickname?

Date of Birth

//

Marital Status

Date Married

//

If married, were you married in the Catholic Church?

	Yes
	No

Religion

Baptised?

If yes, include year baptised*

First Communion?
Required*

	Yes
	No

Confirmed?
Required*

	Yes
	No

Highest Education

Occupation

Indicate if Retired

Business Phone

--

Languages Spoken

Woman's Information

Name

First Name

Last Name

Maiden Name

Cell Phone

--

Email

Nickname?

Date of Birth

//

Marital Status

Date Married

//

If married, were you married in the Catholic Church?

	Yes
	No

Religion

Baptised?

If yes, include year baptised

First Communion?

	Yes
	No

Confirmed?

	Yes
	No

Highest Education

Occupation

Indicate if Retired

Business Phone

--

Languages Spoken

Child 1 Information

Name

First Name

Last Name

Nickname?

Gender

	Male
	Female

Date of Birth

//

Baptised?

If yes, include year baptised

First Communion?

	Yes
	No

Confirmed?

	Yes
	No

Highest Education (to date)

Languages Spoken

Child 2 Information

Name

First Name

Last Name

Nickname?

Gender

	Male
	Female

Date of Birth

//

Baptised?

If yes, include year baptised

First Communion?

	Yes
	No

Confirmed?

	Yes
	No

Highest Education (to date)

Languages Spoken

Child 3 Information

Name

First Name

Last Name

Nickname?

Gender

	Yes
	No

Date of Birth

//

Baptised?

If yes, include year baptised

Confirmed?

	Yes
	No

First Communion?

	Yes
	No

Highest Education (to date)

Languages Spoken

Other Adult Information

Relationship

Name

First Name

Last Name

Maiden Name (if appropriate)

Cell Phone

--

Email

Title

Nickname?

Gender

	Male
	Female

Date of Birth

//

Marital Status

Date Married

//

If married, were you married in the Catholic Church?

	Yes
	No

Religion

Baptised?

If yes, include year baptised

First Communion?

	Yes
	No

Confirmed?

	Yes
	No

Highest Education

Occupation

Indicate if Retired

Business Phone

--

Languages Spoken