St. Peter Parish Registration Form

St. Peter Roman Catholic Church Confidential Registration Form

General Information
Let's start with some general information about the person known as the Head of Household. This is the person for whom the parish will be in main contact with for the family.
Family Name (Head of Household) *

Prefix First Name Middle Name Last Name
Date of Birth *

Month Day Year
Sex *

Male Female
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail
Spouse (Full Maiden Name)

First Name Middle Name Last Name
Which Church Parish were you registered in or did you attend previously?
example: Our Lady of Fatima in Lafayette

St. Peter Roman Catholic Church Confidential Registration Form

Demographics
Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.
Information About Another Adult In the Home
Name of Adult #2

Prefix First Name Middle Name Last Name
Relationship to Head of Household of Adult #2

Spouse Child In-Law Parent or Grandparent Relative Other
Date of Birth of Adult #2

Month Day Year
Sex of Adult #2

Male Female
Phone Number of Adult #2

Area Code Phone Number
E-mail of Adult #2

St. Peter Roman Catholic Church Confidential Registration Form

Demographics
Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.
Information About Another Adult In the Home
Name of Adult #3

Prefix First Name Middle Name Last Name
Relationship to Head of Household of Adult #3

Spouse Child In-Law Parent or Grandparent Relative Other
Date of Birth of Adult #3

Month Day Year
Sex of Adult #3

Male Female
Phone Number of Adult #3

Area Code Phone Number
E-mail of Adult #3

St. Peter Roman Catholic Church Confidential Registration Form

Demographics
Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.
Information About Another Adult In the Home
Name of Adult #4

Prefix First Name Middle Name Last Name
Relationship to Head of Household of Adult #4

Spouse Child In-Law Parent or Grandparent Relative Other
Date of Birth of Adult #4

Month Day Year
Sex of Adult #4

Male Female
Phone Number of Adult #4

Area Code Phone Number
E-mail of Adult #4

St. Peter Roman Catholic Church Confidential Registration Form

Demographics
Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.
Information About Another Adult In the Home
Name of Adult #5

Prefix First Name Middle Name Last Name
Relationship to Head of Household of Adult #5

Spouse Child In-Law Parent or Grandparent Relative Other
Date of Birth of Adult #5

Month Day Year
Sex of Adult #5

Male Female
Phone Number of Adult #5

Area Code Phone Number
E-mail of Adult #5

St. Peter Roman Catholic Church Confidential Registration Form

Demographics
Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.
Information About Minors In The Home
Are there any minors (under the age of 18) living at home on a regular basis?

Yes No

Information About Minors in the Home

	Name	Relationship to Head of Household	Date of Birth	Sex (M/F)	Received Baptism? (Y/N)	Received First Communion? (Y/N)	Received Confirmation? (Y/N)

St. Peter Roman Catholic Church Confidential Registration Form

Complete!
That's It! By clicking the submit button, you now are a parishioner of St. Peter Catholic Church in Carencro. Welcome to the Family! You will be contacted with information soon about ways to be involved in your new Parish Family. Please take the initiative to build relationships with the Pastor, Fr. Ledoux, and your fellow Parishioners. The Sunday Mass schedule is as follows: Sat. at 4:00pm and 6:00pm; Sun. at 7:00am, 9:00am, 11:00am, 1:00pm, and 5:30pm.
Should be Empty:

St. Peter Roman Catholic Church Confidential Registration Form

Let's start with some general information about the person known as the Head of Household. This is the person for whom the parish will be in main contact with for the family.

St. Peter Roman Catholic Church Confidential Registration Form

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form

Lastly, please enter information below about each member of your household. This information remains confidential and makes a vital difference in the Parish's ability to meet the needs within the Parish Family. Please answer each question honestly and to the best of your ability.

St. Peter Roman Catholic Church Confidential Registration Form