St. John Vianney Parishioner Registration

St. John the Baptist Mary Vianney Church
Thank you for choosing to register with St. John Vianney Church, Cumberland, RI.

This form will appoximately take the following to complete:

Single: (10-15 Minutes) Family: (25-30 Minutes.)
Date Completed

MonthDayYearHourMinutesAM/PM Option
Family Name
Salutation
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Alternate Phone Number 1

Area CodePhone Number
Alternate Phone Number 2

Area CodePhone Number
Marital Status
Head of Household
Spouse
If applicable
Marriage Date
If applicable
Place of Marriage
If applicable
Married by:
If applicable
What skills or talents would you be willing to share with our parish family?
Is there anyone at home unable to go out (shut-in)
Family Information Detailed

Please be as detailed as possible for the accuracy of our records. Thank you.
Full Name

First NameLast Name
Middle Name
Maiden Name
Birth Date

MonthDayYear
Primary Language
Education Level
Gender
Occupation
Employer
Baptized
Eucharist
Confirmed
Please list the parish/parishes you received your Sacraments,
Spouse
Spouse Full Name

First NameLast Name
Middle Name
Maiden Name
Birth Date

MonthDayYear
Primary Language
Education Level
Gender
Employer
Occupation
Baptized
Eucharist
Confirmed
Please list the parish/parishes you received your Sacraments,

Children / Others Living At Home

Please complete the following sections if applicable.

Budget Payment
Budget Option

E-Giving ProgramBudget Envelopes
We are proud to offer you the ability to pay your weekly budgets electronically.

Please follow this link to enroll in E-giving.

Thank you in advance for your support of this parish.

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St. John the Baptist Mary Vianney Church