Register Family Name (Last Name only) Marital Status Single Married Divorced Widowed Separated Address City, State Zip Phone Email In what form would you like to receive your welcome packet? Digital Printed Please list yourself and those living with you: (Name, Relationship, Birthdate, Occupation) Are you or anyone in your household in need of sacraments? Would you like to be sent parish envelopes? Yes No Which weekend Mass do you typically attend? 4 PM Saturday 7 AM Sunday 9 AM Sunday 10:30 AM Sunday 5 PM Sunday List any ministries of interest to you or any member of your household. Send St. X Ministry Resource Guide
