Page 1
Page 2
Confirm
FAMILY REGISTRATION
Today's Date
# of Years in Parish
Family ID#
Mailing Preference EnglishSpanish
--------------------
Family Name
Head: Last
First
Title
Suffix
Spouse: Last
Mailing Name Street Address Line 1 Street Address Line 2
City
State
Zip
Family Status —Please choose an option—MarriedSeparatedDivorcedWidowedSingle
Family Residence —Please choose an option—TenantOwner
Phone
Location —Please choose an option—HomeOfficeCellOther
Unlisted —Please choose an option—YesNo
Email
Send Email? YesNo
-----Page 1-----
Next
Mailing Address (if different)
Street Address Line 1 Street Address Line 2
Date range you expect to be at this address:
From
To
Alternate Address Remarks:
List only those living with you (include last name if different)
Others Living With You & Relationship
-----Page 2-----
FirstPrevious
[step_confirm]
NOTE: Please verify that all informations entered here are accurate. A verification email from SPAPHILLY.ORG with a copy of this registration will be sent to your registered email. Check the spam or junk folder if the verification email is not in the inbox folder.
-----IMPORTANT NEXT STEP-----
Once the "Send" button is clicked, please follow the instruction on the new page to fill out a MEMBER FORM for each person in the household.
Δ
Page 3
Email (must match with the email given in the Family Form)
MEMBER REGISTRATION Member Name:
Last
Middle
Title—Please choose an option—Mr.Mrs.Ms.MissOther
Other Title
Maiden Name
Personal Information:
Relationship—Please choose an option—SelfSpouseChildOther
Other
Gender—Please choose an option—MaleFemale
Date of Birth
Marital Status—Please choose an option—MarriedSeparatedDivorcedWidowedSingle
Religion
Ethnicity
Grade/Degree
Language(s) Spoken at Home
Occupation
Disability
Location
Homebound due toAgingIllnessPhysical DisabilityMental Disability
I'm interested in having a home visitYesNo
Type—Please choose an option—HomeCellOfficeOther
Unlisted—Please choose an option—YesNo
Prefer Email?YesNo
Remarks
Birthplace
Birth Father
Birth Mother
BaptismYesNo
Date
Church Name
First CommunionYesNo
ConfirmationYesNo
MarriageYesNo
I am interested in receiving my sacraments. Please contact me.YesNo I am interested in the priesthood or religious life. Please contact me.YesNo Mass Attendance—Please choose an option—RegularOccasionalHomebound I am involved with the following church societies/ministries Altar ServerUsherHospitalityLectorEucharistic MinisterChoirSacred HeartLegion of MaryCharismatic Prayer GroupOther: Other I would like to volunteer for the following ministries
-----Page 3-----
You've the option to add more members on the new page once you've successfully submitted this form.