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New Parishioners or Update Information

- To register, new parishioners may contact the office or download and submit the completed form. If you have any changes to your contact information or the parish at which you wish to be registered, please fill out the form below as well.
  All members should update the church office with address/phone changes as well as notifying us if you move away from the church.
  
  View printable registration form or complete online form below.
  
  A separate registration form should be completed for each of the following:
  1. Any single person 21 years of age or older
  2. Any married couple with no children under 21 years of age
  3. Any married couple or single person with children under 21
  4. Any single person under 21 living away from home
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Are you a new parishioner or existing parishioner updating your information? REQUIRED New Parishioner Existing Parishioner Updating Information Please fill out this field.
  
  Which church would you like to register at? REQUIRED St. Augusta, Lake Village St. Cecilia. DeMotte Sorrowful Mother, Wheatfield Please fill out this field.
  
  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.
  
  Is this address at: REQUIRED House Apartment Complex Nursing Home Please fill out this field.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Unlisted Home Phone? Yes
  
  Would you like envelopes? REQUIRED Yes No Please fill out this field.
  
  Current Marital Status REQUIRED Please fill out this field.
  
  Marriage
  
  Date of Marriage Please enter valid data.
  
  Total Person(s) in the Household REQUIRED Please fill out this field.
  
  Person 1
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 2
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 3
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 4
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 5
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 6
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 7
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 8
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 9
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Person 10
  
  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 Name (if applicable) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Informal Name Please enter valid data.
  
  Salutation Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Baptized Not Baptized Unsure
  
  Baptism Date Please enter valid data.
  
  Sacraments received First Communion Confirmation Unsure
  
  Religious Education Catholic Schools Religious Education Interested in joining Catholic Church
  
  Mass Attendance
  
  Employer or School Please enter valid data.
  
  Occupation or Grade Please enter valid data.
  
  Parish Ministries
  
  Please select the ministries that you, or members of your household, would like to receive more information on or participate in.
  
  Liturgical Ministries Usher Cantor/Song Leader Play Organ Read at Mass Communion Minister Greeter at Mass Clean Altar Linens Church Decorations Play Piano/other Choir Member
  
  Service Ministries Prayer Chain Caller Communion to Sick/Shut-In Visit Sick/Shut-In Send Cards Food Distribution
  
  Formation Ministries Prayer Group Leader Prayer Group OCIA Coordinator OCIA Sponsor Teach Faith Formation Substitute Teacher Teacher's Aide
  
  Parish Community Ministries Bookkeeping Hospitality Knights of Columbus Ladies' Ministry Men's Ministry
  
  Submit
  
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North Newton Jasper Pastorate
Pastorado del Norte de Newton Jasper

Lake Village, Wheatfield, & DeMotte Indiana

New Parishioners or Update Information