Parish Registration

Confirmation Info: Date, Church, City, & State

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth Please enter valid data.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Sex Male Female

Baptism Info: Date, Church, City, & State

1st Communion Info: Date, Church, City, & State

Confirmation Info: Date, Church, City, & State

Parents' Names (Provide mother's maiden name) Please enter valid data.

Occupation Please enter valid data.

Talents Please enter valid data.

Hobbies Please enter valid data.

Are you married? Yes No Single Divorced Widow Widower

Are you married in the Catholic Church? Yes No

Spouse's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
Email Please enter an email address.
Baptism Info: Date, Church, City, & State
1st Communion Info: Date, Church, City, & State
Confirmation Info: Date, Church, City, & State
Parents' Names (Provide mother's maiden name) Please enter valid data.
Occupation Please enter valid data.
Talents Please enter valid data.
Hobbies Please enter valid data.

Children REQUIRED Please fill out this field.
Child 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter valid data.
Child 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter valid data.
Child 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter valid data.
Child 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter valid data.

How Long have you been attending Mass at STA? Please enter valid data.

Mass Regularly Attended: 5:30 P.M. (Sat. English) 8:00 A.M. (Sun. English) 11:30 A.M. (Sun. English) 9:30 A.M. (Sun. Chinese) 1:30 P.M. (Sun. Spanish)

Would you like to receive in the mail the envelopes for contributions to STA? Yes No

If you have been receiving the contribution envelopes, what is your envelope number? Please enter valid data.

In what way may St. Thomas Aquinas community help you?