Parish Registration Form

Household Information

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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

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

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Mailing Address (If different from above) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Primary Mass Attending REQUIRED 5:00 PM Saturday 8:00 AM Sunday 10:30 AM Sunday Please fill out this field.

Tithing Preference REQUIRED Weekly Envelopes Online Giving Please fill out this field.

Adults in Household

Number Adults in Household REQUIRED Please fill out this field.
Adult 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (If Applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married in Church: Name of Church & Date REQUIRED Please fill out this field.
- Sacraments Received REQUIRED Baptism Confession First Communion Confirmation Marriage Holy Orders (Diaconate) Please fill out this field.
Adult 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (If Applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married in Church: Name of Church & Date REQUIRED Please fill out this field.
- Sacraments Received REQUIRED Baptism Confession First Communion Confirmation Marriage Holy Orders (Diaconate) Please fill out this field.
Adult 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (If Applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married in Church: Name of Church & Date REQUIRED Please fill out this field.
- Sacraments Received REQUIRED Baptism Confession First Communion Confirmation Marriage Holy Orders (Diaconate) Please fill out this field.
Adult 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (If Applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married in Church: Name of Church & Date REQUIRED Please fill out this field.
- Sacraments Received REQUIRED Baptism Confession First Communion Confirmation Marriage Holy Orders (Diaconate) Please fill out this field.
Adult 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (If Applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Gender REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married in Church: Name of Church & Date REQUIRED Please fill out this field.
- Sacraments Received REQUIRED Baptism Confession First Communion Confirmation Marriage Holy Orders (Diaconate) Please fill out this field.

Children in Household

Additional Information

Have you received VIRTUS Training? (The VIRTUS Protecting God's Children training is required for all volunteers and employees in the Diocese of Savannah.) REQUIRED Yes No Please fill out this field.

Is there anything else you would like for us to know about your family? (Special Needs, Shut-In, etc.)

Saint Anne
Catholic Church

Richmond Hill, Georgia

Parish Registration Form