Church Registration Parish Registration Parish Registration Registration * New Registration Update Registration Head of household Last Name * Date Title Mr. & Mrs. Mr. Dr. Mrs. Miss Ms. Family Status Married Single Divorced Separated Widowed Engaged Were you married by a: Catholic Priest Civil wedding only Not married Street Address * City * State * Florida Other ZIP * Email Address Gives permission to copy you on parish-wide communications Interested in Online Giving? Yes No First Name Member No. 1 Last Name Member No. 1 Gender Male Female Date of Birth Member No. 1 Occupation Member No. 1 Relationship Member No. 1 Religion Member No. 1 Sacraments Received * Baptism First Communion Confirmation Matrimony Member No. 1 First Name Member No. 2 Last Name Member No. 2 Gender Male Female Date of Birth Member No. 2 Occupation Member No. 2 Relationship Member No. 2 Religion Member No. 2 Sacraments Received Baptism First Communion Confirmation Matrimony Member No. 2