PARISH REGISTRATION

& UPDATE FORM

We welcome you to be part of our St. Clement parish family.
Please complete this form.
All information provided is confidential.
We will not use or share any of your personal information
for any other purpose.

* Indicates required field

Today's Date: MM / DD / YYYY *

Family Surname *

Previous Parish - Name & City *

Address *

City *

Postal Code *

Telephone Number *

Email Address *

HEAD(s) of HOUSEHOLD

Marital Status - Please check one *

Church of Marriage - If Applicable *

Select One *

Mr. Ms. Mrs. Miss

First Name *

Surname - If Different *

Catholic? *

Date of Birth: MM / DD / YYYY *

Occupation *

Place of Employment *

Select One *

Mr. Ms. Mrs. Miss

First Name *

Catholic? *

Surname - If Different *

Date of Birth: MM / DD / YYYY *

Occupation *

Place of Employment *

OTHER ADULT(S)

Persons over the age of 18 years are invited to submit a separate registration.

CHILDREN LIVING AT HOME

First Name *

Surname - If Different *

D.O.B.: MM / DD / YYYY *

First Name *

Surname - If Different *

D.O.B.: MM / DD/ YYYY *

D.O.B.: MM / DD / YYYY *

First Name *

Surname - If Different *

D.O.B.: MM / DD / YYYY *

OFFERTORY

I / We wish to support the parish using church envelopes *

If "Yes" -
A box of offering envelopes will be
prepared for you for pick-up.

In Whose Name? *

I / We wish to support the parish through Pre-Authorized Giving *

If "Yes" - Please complete an Authorization Form
and submit it to the Parish Office.
For details and a downloadable form,
please click here and see the final item.

MINISTRIES

If you wish to be involved in any ministries in our parish, please contact the Parish Office.

Submit

PARISH ​REGISTRATION

​& UPDATE FORM

PARISH REGISTRATION

& UPDATE FORM