Join the Parish

Family (Last) Name

Mr. & Mrs.Mr.Mrs.Ms.Miss.Dr.Other

Primary Address (House No., Street, City, State and Zipcode)

Secondary Address (House No., Street, City, State and Zipcode)

Your Email

Home Phone

Cell Phone

Permanent ParishionerSummer ParishionerPlease Send us Envelopes

Please fill out as much as possible

In order to provide accurate information in times of need, it is very important that we have current information for all of our parish families. In accordance with the Privacy Act no information you provide on this form will be shared with any other entity without your explicit consent.

Head of Household (Name)

Spouse (First & Maiden Name)

Marital Status (pick one)
DivorcedCivil MarriageAnnulmentSeparatedRemarriedWidowed

Catholic Church Marriage Date:

Church

Church City, State

Head of Household Information

Ethnicity/Race

High SchoolCollege

College Degree

Occupation

Place of Employment

Work Phone Number

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

Spouse Information

Ethnicity/Race

High SchoolCollege

College Degree

Occupation

Place of Employment

Work Phone Number

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

First Child

Name

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

Second Child

Name

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

Third Child

Name

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

Fourth Child

Name

Date of Birth

Religion

Baptized: YesNo

Date:
Church:
City & State:

1st Communion: YesNo

Date:
Church:
City & State:

Confirmation: YesNo

Date:
Church:
City & State:

Ministry Survey

Please indicate if you or your child is willing to share your time and talents with St. Ann's Community.

Check all that apply.

Altar Servers (Children)Choir (Adult/Children)Eucharistic MinisterGreeter/UsherResurrection Choir/Server (for Funerals)(Adults Only)LectorsRCIA/RCICPastoral Council/Parish CommissionEucharist to Homebound/Homebound VisitationRectory VolunteersYouth GroupSCRIP Sales:Other Talents (Please list):