Parish Registration

WINTER HAVEN, FLORIDA

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Parish Registration

Parish Registration Form

We're So Happy You've Decided To Join Our St. Joseph Family!

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Last Name

Today's Date

Street Address

City

State

Zip

Home Phone Number

Email

Would You Like Offertory Envelopes Mailed To Your Home?

Yes, Please

No, Thank You

Languages Spoken (Please check all that apply)

English

Spanish

French

Vietnamese

Other

Do you live in the area year round or seasonally?

Year Round

Seasonally

I would like to learn more about (Check All That Apply)

Religious Education

Faith Formation

Sacraments

Music Ministry

Men's Ministry

Women's Ministry

Youth Ministry

Children's Ministry

Vacation Bible School

Event Volunteering

Extraordinary Ministers

Prayer Chain

Other

Free Text

Head of Household - Marital Status

Single

Married In Catholic Church

Married Civilly

Separated

Divorced

Widowed

Head of Household - First Name

Head of Household - Last Name

Are You Catholic?

Yes, I'm Catholic

No, Not Catholic

Head Of Household: Gender

Male

Female

Head of Household - Date of Birth

Head Of Household: Sacraments Completed. Please Check All That Apply

None

Baptism

1st Communion

Confirmation

Please List Church(s) Where Sacraments Were Made

Head of Household - Occupation

free text

Spouse First Name

Spouse Last Name

Are You Catholic ?

Yes, I'm Catholic

No, I'm Not Catholic

Spouse: Gender

Male

Female

Spouse: Date of Birth

Spouse: Sacraments Completed (Check All That Apply)

None

Baptism

1st Communion

Confirmation

Please List Church(s) Where Sacraments Were Made

Spouse - Occupation

Child # 1

Child's First Name

Child # 1: Last Name

Child # 1 Gender

Male

Female

Is Child # 1 Baptized Catholic?

Yes

No

Child # 1: Date of Birth

Child # 1 - Sacraments Completed (check All that Apply)

None

Baptism

1st Communion

Confirmation

Please List Church(s) Where Sacraments Were Made

Child # 2 information

Child # 2: First Name

Child # 2: Last Name

Child # 2: Gender

Male

Female

Is Child # 2 Baptized Catholic?

Yes

No

Child # 2: Date of Birth

Child # 2 Sacraments Completed

None

Baptism

1st Communion

Confirmation

Please List Church(s) Where Sacraments Were Made

Child # 3: Child First Name

Child # 3: Last Name

Child # 3 : Gender

Male

Female

Is Child # 3 Baptized Catholic?

Yes

No

Child # 3 : - Date of Birth

Child # 3: Sacraments Completed (Check All That Apply)

None

Baptism

1st Communion

Confirmation

Please List Church(s) Where Sacraments Were Made

Please Include Any Additional Comments

Your Registration Has Been Successfully Submitted.

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Our Location

532 Avenue M NW
Winter Haven, FL 33881

863-294-3144

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Office Hours

Monday–Thursday: 8:00 am – 4:00 pm

Friday: 8:00 am – 3:00 pm

Closed For Lunch: Noon until 1 pm.

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