St. John Vianney Catholic Church Registration Form

Welcome to St. John Vianney Catholic Church. We're happy that you've chosen to join
 our parish family. Please fill out the information below in order to register as a member.


 If you are experiencing trouble with this form, you can fill out the manual form at
 http://sjvroundrock.org/documents/2017/7/Membership_Registration.pdf. After
 completing this form, please email, mail, fax, or hand deliver to the parish office.
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Click Submit Form to send this information to St. John Vianney Catholic Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
Maiden Name
*Birth Date
*Gender Female   Male
*Religion
*Occupation
  Employer
*Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  First Comm Received Date Place
  Confirmation Received Date Place
  Marriage Received Date Place

  Spouse
  Title Suffix
  First Name Last Name
Maiden Name
Birth Date
  Gender Female   Male
  Religion
  Occupation
  Employer
  Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacrements
  Baptism Received Date Place
  First Comm Received Date Place
  Confirmation Received Date Place
  Marriage Received Date Place

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible

  Member 1 Type
  First Name Last Name
  Relationship
Birth Date
  Gender Female   Male Grade/Degree
  Marital Stat
Sacraments
   Baptism Received Date Place
   First Comm Received Date Place
   Confirmation Received Date Place


Click Submit Form to send this information to St. John Vianney Catholic Church.
St. John Vianney Catholic Church