Registration Form

Sacred Heart Parish

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Registration Form PDF

Sacred Heart Parish Registration

* Indicates required field

Family Name *

Winter Visitor *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Preferred Language *

Phone Number *

Email *

Which mission do you attend? *

Sacred Heart Parish Wendon Quartzite Poston/Ehrenberg

Name *

First

Last

Birthdate *

Marital Status *

Occupation *

Work Phone Number *

Sex *

Male Female

Sacraments Received (check all that apply) *

Baptism First Communion Confirmation Catholic Matrimony

*If single, skip to bottom of survey. If married or have children, fill out information on additional residents in household.

Spouse's Name *

First

Last

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Spouse's Birthdate *

Spouse's Sacraments Received *

Baptism First Communion Confirmation Catholic Matrimony

Spouse's Occupation *

Spouse's Work Phone Number *

Spouse Sex *

Male Female

Name of others living with you

Name 1 *

First

Last

Relationship 1 *

Date of Birth 1 *

Sacraments Received 1 *

Baptism First Communion Confirmation

Name 2 *

First

Last

Relationship 2 *

Date of Birth 2 *

Sacraments Received 2 *

Baptism First Communion Confirmation

Name 3 *

First

Last

Relationship 3 *

Date of Birth 3 *

Sacraments Received 3 *

Baptism First Communion Confirmation

Name 4 *

First

Last

Relationship 4 *

Date of Birth 4 *

Sacraments Received 4 *

Baptism First Communion Confirmation

Name 5 *

First

Last

Relationship 5 *

Date of Birth 5 *

Saraments Received 5 *

Baptism First Communion Confirmation

Use this box to name additional residents in household *

Please check each of the areas below that may be of interest to you or about which you would like additional information *

Religious Education Adult Education Catechist or Aide Becoming Catholic/RCIA Saint Vincent De Paul Youth Ministry Assisting with Liturgy including lector, greeter, alter server, Eucharistic minister Music Ministry None at this time

Please indicate here any questions, concerns, or needs that you or a member of your family may need from Sacred Heart Parish. *

Someone to phone me Pastoral Counseling Homebound Handicapped Home Visit Anointing of the Sick

Submit

Location

Mission Statement

The Mission of Sacred Heart Parish is to light the fires of the Sacred Heart of Jesus by welcoming all people to portray the image of Christ by showing love to all, setting examples of faith, love, family, and community as set by the Roman Catholic Church; helping those who hunger, clothing those without, and visiting those in confinement, giving God prayer, praise, and thanksgiving at all times.

Contact Us

Phone: 928-669-2502
Fax: 928-669-8196
Office Hours: Monday - Thursday 9am - 3pm
. Friday 9am-2pm