Parish Registration

Family Contact Information
In this section please indicate information that is applicable to your entire household. Individual Information will be requested below.
Family Last Name
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Home Phone --
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Cell Phone --
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Home Address
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Be sure to include any apartment numbers or special information that will ensure the Post Office can deliver any communications. Be sure to include Street Address, City, State, and Zip Code.
How Long Have You Been Attending Mass Here?
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Previous Parish Name
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Email Address
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Would You Like To Receive Our Email Newsletter?
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We do not send more than 2 emails per month, but think that communicating via email is an efficient way to send information to our parishioners.
Head of Household Information
If both spouses are Catholic, use this place for the husband.
Name of Head of Household
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Gender
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Birth Date //
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Be sure to indicate the correct year.
Religion
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Ethnicity
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ex: Caucasian, African American, Hispanic, Asian, Multi-Racial
Sacramental Information (Check if Received)
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Employer Name & Phone Number
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Current Marital Status
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Wedding Date //
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Place of Wedding
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City & State of Wedding
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Were you married with the Blessing of the Catholic Church?
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Spouse Information
If you are a single person, please scroll down to the ministry listing to complete your registration. If you are a single parent, please scroll down to the next section to insert the information for your children.
Full Name of Spouse
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Gender
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Birth Date //
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Religion
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Ethnicity
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Sacramental Information
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Employer Name & Phone Number
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Children's Information
Please list the the requested information for EACH child living in your household.
First Child
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Second Child
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Third Child
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Fourth Child
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Family Interests and Activities
Please select any of the Ministries, Organizations, and Religious Educational Opportunities that you or your family members are interested in learning more about. Descriptions can be found on our website: http://www.stacharlotte.com/ministries
Spiritual Ministries
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Liturgical Ministries
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Corporal Ministries
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Parish Life Groups
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Religious Education
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Special Talents I Can Share
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Why have you chosen to become a member of this parish?
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Are there any special needs or circumstances of which the pastor needs to be aware?
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