Facebook YouTube Phone Email

Parish Registration

Keeping our parish database up-to-date
- This form is not accepting responses at this time.
  
  Please take time to fill out the Online forms for the Parish Registration Update and Returning Your Gifts Pledge. These will help us stay in communications with you, update our database, and continue to grow at being One in the Body of Christ.
  
  Family Mail Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden (if applicable) Please enter valid data.
  
  Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Gender Female Male
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Catholic Non Catholic Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Marital Status (check what applies) REQUIRED Single Divorced Married by Priest Married Outside of Church Widow / Widower Please fill out this field.
  
  Date of Marriage (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Spouse
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender Male Female
  
  Baptized? Yes No
  
  Confirmed? Yes No
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Marital Status (check what applies) REQUIRED Single Divorced Married by Priest Married Outside of Church Widow / Widower Please fill out this field.
  
  Other Members Who Live In Your Household Please fill out this field.
  
  Another Member 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Additional Information
  
  We are pleased to offer both online giving and traditional envelope services to our parishioners. Which option is most convenient for your family? REQUIRED Traditional Envelopes Online Giving Please fill out this field.
  
  We have a parish email blast system we use to communicate information about activities and events that are happening at St. Monica. May we put you on our contact list? REQUIRED Yes No Please fill out this field.
  
  Would you like to receive the St. Louis Review? ($35 annual fee) REQUIRED Yes No Please fill out this field.
  
  Have you completed a stewardship form? Time/Talent/ Treasure? (see link below) REQUIRED Yes No Please fill out this field.
  
  Is there any additional information, such as special needs or skills, you would like us to know that may allow us to serve you better?
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- Time, Talent, Treasure

St. Monica Catholic Church
& Preschool

City, ST

Parish Registration

Keeping our parish database up-to-date