Parishioner Registration form

Thank you for becoming a member of our congregation!

Would you like a box of envelopes? REQUIRED Yes No, I will use the ones in the pews. Please fill out this field.

Given name REQUIRED Please fill out this field. Please enter valid data.

Surname REQUIRED Please fill out this field. Please enter valid data.

Your Occupation Please enter valid data.

Family information

Registering together as a family? REQUIRED Yes No Please fill out this field.

Spouse given name Please enter valid data.

Spouse surname Please enter valid data.

Children's names? (please include ages)

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

Postal code REQUIRED Please fill out this field. Please enter valid data.

Contact information

Phone Number REQUIRED Please fill out this field. Please enter valid data.

Alternate phone number Please enter valid data.

E-mail address REQUIRED Please fill out this field. Please enter valid data.

Emergency contact

Emergency contact name REQUIRED Please fill out this field. Please enter valid data.

Emergency contact phone number REQUIRED Please fill out this field. Please enter valid data.

NOTRE-DAME CATHEDRAL