St. Anselm Parish Registration Form

1
Family Name* This field is required.Last Name
2
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Phone Number* This field is required.Family phone #
4
Date of MarriageIf married
Date
Month
Day
Year
5
Place of MarriageIf married
Name of Church or location and address.
6
Head of Household* This field is required.
Name
Birthday (mm-dd-yyyy)
Religion
Single
Married
Divorced
Marital Status
Yes
No
Where you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
7
Profession* This field is required.Head of Household
8
Email* This field is required.Head of Household
example@example.com
9
Phone Number* This field is required.Head of Household
10
Education * This field is required.Head of Household
What is the highest form of education you completed?
11
SpousePlease include Maiden name
Name
Birthday (mm-dd-yyyy)
Religion
Single
Married
Divorced
Marital Status
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
12
ProfessionSpouse
13
EmailSpouse
example@example.com
14
Education Spouse
What is the highest form of education you completed?
15
Phone NumberSpouse
16
Child's NameOldest
Name
Birthday (mm-dd-yyyy)
Religion
Single
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
17
SchoolOldest child
Name of current school
Grade
18
Child's Name2nd Oldest
Name
Birthday (mm-dd-yyyy)
Religion
Single
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
19
SchoolSecond child
Name of current school
Grade
20
Child's NameThird Child
Name
Birthday (mm-dd-yyyy)
Religion
Single
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
21
SchoolThird child
Name of current school
Grade
22
Child's NameFourth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
23
SchoolFourth child
Name of current school
Grade
24
Child's NameFifth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
25
SchoolFifth child
Name of current school
Grade
26
Child's NameSixth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
27
SchoolSixth child
Name of current school
Grade
28
Child's NameSeventh Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
29
SchoolSeventh child
Name of current school
Grade
30
Child's NameEighth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
31
SchoolEighth child
Name of current school
Grade
32
Child's NameNinth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
33
SchoolNinth child
Name of current school
Grade
34
Child's NameTenth Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
35
SchoolTenth child
Name of current school
Grade
36
Child's NameEleventh Child
Name
Birthday (mm-dd-yyyy)
Religion
Boy
Girl
Gender
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
37
SchoolEleventh child
Name of current school
Grade
38
Other Adult 1Please list all other adults living in your household.
Name
Birthday (mm-dd-yyyy)
Religion
Single
Married
Divorced
Marital Status
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
39
ProfessionOther adult 1
40
Education Other Adult 1
What is the highest form of education you completed?
Occupation
41
Other Adult 2Please list all other adults living in your household.
Name
Birthday (mm-dd-yyyy)
Religion
Single
Married
Divorced
Marital Status
Yes
No
Were you Baptized?
Yes
No
Did you make your First Holy Communion
Yes
No
Were you Confirmed?
Ethnicity
42
ProfessionOther Adult 2
43
Education Other Adult 2
What is the highest form of education you completed?
Occupation
Should be Empty: