Registration

New Parishioner Registration

Parish Registration

Family Name(Required)

Primary Language Spoken At Home(Required)

Head of Household

Title(Required)

Head of Household Name(Required)

Date of Birth(Required)

Sacraments Recieved(Required)

Marital Status(Required)

Spouse's Information (If Married)

Title

Spouse's Name

Date of Birth

Sacraments Recieved

Marriage Information

Date of Marriage

Wife's Maiden Name

Were you married by a Catholic Priest?

Yes

Single Adults (Living In Household)

Title

Single Adult 1 Name

Date of Birth

Sacraments Recieved

Relationship to Head of Household

Title

Single Adult 2 Name

Date of Birth

Sacraments Recieved

Relationship to Head of Household

Children (18 & Under Living in Household)

*If there are more than three children living in your household, please put their information into the comment box at the end of the form. If your child is between grades K-10 they will also need to be registered in our Religious Education program in addition to providing their information on this registration form. Please contact our Director of Religious Education Deacon Jim Blanchette at (860) 729 – 5302 or deaconjimb@annunciationnewington.com with any questions and for more information. You may also CLICK HERE to begin the process of registering for our Religious Education program.

Child 1 Name

Child 1 Date of Birth

Child 1 Sacraments Recieved

Child 2 Name

Child 2 Date of Birth

Child 2 Sacraments Recieved

Child 3 Name

Child 3 Date of Birth

Child 3 Sacraments Recieved

Additional Information

Which Campus Do You Primarily Attend For Mass?

Saint Mary Church

Holy Spirit Church

How Would You Prefer To Contribute To The Parish?

Envelopes

Online Giving

Additional Comments or Information

Title

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)