New Parishioner Registration | St. Jude Thaddeus Catholic Church

Parish Registration

This form is used when you're ready to become official members of our parish!

Family Last Name(Required)

Address(Required)

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

Phone Number You Want Listed with Parish(Required)

Previous Parish (if any)(Required)

Tell Us About Each Member of Your Family

Please note, children away at college should be included here. Children 23 years of age or older, living on their own, and/or married should fill out their own registration form and should NOT be included here.

Please complete the following information for the head of household. There will be an opportunity to add information for a spouse/partner and children later in the form.

Name(Required)

First Last

Date of Birth(Required)

Gender(Required)

Preferred Name if Different From Legal Name

Marital Status(Required)

Religion(Required)

Cell Phone

Sacraments Received (Check all that apply)(Required)

Baptism

First Communion

Confirmation

Marriage

None

Baptism Date

If you do not know the exact date please list approximate date to help us locate the record.

Baptism Location (Parish and City/State)

Maiden Name or Name Baptized Under if Different From Current Name

Confirmation Date

If you do not know the exact date please list approximate date to help us locate the record.

Confirmation Location (Parish and City/State)

Maiden Name or Name Confirmed Under if Different From Current Name

Marriage Date

Marriage Location (Parish or Church and City/State)

Maiden Name or Name at Time of Marriage if Different From Current Name

Do You Have a Spouse or Partner to List?(Required)

Yes

Spouse/Other Information

Name(Required)

First Last

Date of Birth(Required)

Gender(Required)

Preferred Name if Different From Legal Name

Marital Status(Required)

Religion(Required)

Cell Phone

Sacraments Received (Check all that apply)(Required)

Baptism

First Communion

Confirmation

Marriage

None

Sacraments Received (Check all that apply)(Required)

Baptism

First Communion

Confirmation

None

Baptism Date

If you do not know the exact date please list approximate date to help us locate the record.

Baptism Location (Parish and City/State)

Name Baptized Under if Different From Current Name

Confirmation Date

If you do not know the exact date please list approximate date to help us locate the record.

Confirmation Location (Parish and City/State)

Name Confirmed Under if Different From Current Name

Child Information

How many children are in the home?

Child #1 - Name

First Last

Child #1 - Date of Birth

Child #1 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #1 - Baptism Date

Child #1 - Baptism Location

Child #1 - Confirmation Date

Child #1 - Confirmation Location

Child #2 - Name

First Last

Child #2 - Date of Birth

Child #2 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #2 - Baptism Date

Child #2 - Baptism Location

Child #2 - Confirmation Date

Child #2 - Confirmation Location

Child #3 - Name

First Last

Child #3 - Date of Birth

Child #3 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #3 - Baptism Date

Child #3 - Baptism Location

Child #3 - Confirmation Date

Child #3 - Confirmation Location

Child #4 - Name

First Last

Child #4 - Date of Birth

Child #4 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #4 - Baptism Date

Child #4 - Baptism Location

Child #4 - Confirmation Date

Child #4 - Confirmation Location

Child #5 - Name

First Last

Child #5 - Date of Birth

Child #5 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #5 - Baptism Date

Child #5 - Baptism Location

Child #5 - Confirmation Date

Child #5 - Confirmation Location

Child #6 - Name

First Last

Child #6 - Date of Birth

Child #6 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #6 - Baptism Date

Child #6 - Baptism Location

Child #6 - Confirmation Date

Child #6 - Confirmation Location

Child #7 - Name

First Last

Child #7 - Date of Birth

Child #7 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #7 - Baptism Date

Child #7 - Baptism Location

Child #7 - Confirmation Date

Child #7 - Confirmation Location

Child #8 - Name

First Last

Child #8 - Date of Birth

Child #8 - Sacraments Received

Baptism

First Communion

Confirmation

Please check all that apply.

Child #8 - Baptism Date

Child #8 - Baptism Location

Child #8 - Confirmation Date

Child #8 - Confirmation Location

(573) 690-7673 | PO Box 128 Mokane, MO 65059
401 Adams Street Mokane, MO 65059 | stjudemokane@gmail.com