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Parish Registration or Change

Please complete the form below to inform your Parish(es)/Diocese of your plans.

Date: 7/30/2010
 New Registrant    Change of Info
Parish you will attend:*
Parish you are leaving in the Diocese of Tulsa:
Family Name:
Email:
Address:
 Permanent    Temporary
City: *
State:*
Zip:*
Subdivision:
Home phone: *
Cell phone 1:
Previous Address:
City:
State:
Zip:
What Mass do you typically attend?
Head of household name:
Date of birth:
Religion:
Baptized Catholic:
Year baptized:
Where?
Marital Status:
Spouse name:
Maiden name:
Date of birth:
Religion:
Baptized Catholic:
Year baptized:
Where?
Married in Catholic church?
Wedding date:
 If not married in Catholic Church or divorced, do you have a need for information on annullment?
Language(s) spoken in the home:

Head of household employment
Company name:
Position/title:
Office phone:
Catholic school alum:
School name:
City, State:

Spouse employment
Company name:
Position/title:
Office phone:
Catholic school alum:
School name:
City, State:

Name(s) of Minor Children
Name Gender DOB Register RE?
M F
Current Grade in school:
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB Register RE?
M F
Current Grade in school:
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB Register RE?
M F
Current Grade in school:
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB Register RE?
M F
Current Grade in school:
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB Register RE?
M F
Current Grade in school:
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic

Are there adult children living with you?
Name Gender DOB
M F
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB
M F
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic
Name Gender DOB
M F
Sacraments Received (check all that apply)
Baptism  First Communion  First Penance  Confirmation 
Catholic Marriage  Non-Catholic

Are there special needs adults living with you?
Name:
Relationship:
Name:
Relationship:
 Are they able to attend to their spiritual needs? OR
 Would they like visit from parish pastoral care minister?
In an effort to foster Stewardship, please list some of your experiences and abilities which you think might be helpful to this parish/diocesan community?
Would you be willing to share your gifts of time and/or talent to further the spiritual life of your faith family at parish and/or diocese.
Please enter any additional comments or questions here:
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