New Parishioner

Family Name(Required)

Last

Ethnicity(Required)

Address(Required)

Street Address ZIP / Postal Code

Personal Information

Titles(Required)

Mrs

Miss

Marital Status(Required)

Etc, Married,Single,Divorced,Widow

Name(Required)

First Middle

Date Of Birth(Required)

Day

Month

Year

Job Profession(Required)

Any Other Information?

Contact Information:

Telephone

Home Phone:

Work:

Mobile:

Emergency Contact

Emergency Phone:

Email(Required)

Enter Email Confirm Email

Special Needs

(Anything we need to be aware of or any visitations required for communion, etc.)

Sacraments Information

Please note the dates and place of baptism, confirmation, and first holy communion. IF some or weren't celebrated at St Pius X Catholic Church, Glen Innes, please choose the refer TO PARISH OFFICE.

Name

First Last

Gender(Required)

Female

Male

Rather not say

Baptism(Required)

Yes

Refer to Parish Office

Confirmation(Required)

Yes

Refer to Parish Office

First Holy Communion(Required)

Yes

Refer to Parish Office

Ministries

If you are interested in serving with any of the following ministries, please choose the following boxes.

Ministries

Introducer

Minister of the word

Collectors

Extraordinary Communion (Holy Communion)

Altar Server

Skills & Talents

If you have any skills or talents that you can maybe use to serve within our Parish community, Please Let Us Know

Planned Giving Envelopes

To contribute to the church, please fill out the spaces below. Or if you wish to make a automatic payment (Online) tick the box below and we will send you the AP form. Once completed, you may hand it in the parish office. Please note that your P/G (Pledge) number is reference. If you already have planned giving envelopes then please just go to the comments section. Thank you!

Name (To Be On Pledge Envelope):

Address

Street Address City ZIP / Postal Code

OR Pledge Giving Automatic Payment System?

Yes

Any Question Or Queries?

Today's Date

Day

Month

Year

Membership Registration Form Or Updating Parishioner Information Form

Personal Information

Contact Information:

Sacraments Information

Ministries

Planned Giving Envelopes