Parish Registration Form

Name of Household: REQUIRED Please fill out this field. Please enter valid data.

Date of Birth Please enter valid data.

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Other phone: Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Catholic REQUIRED yes no Please fill out this field.

Baptized yes No

First Communion yes No

Confirmed Yes No

Marital Status Married single Divorced Widowed

Spouse Full Name Please enter valid data.

Date of Birth Please enter valid data.

Primary Phone Please enter valid data.

Email Address Please enter valid data.

Catholic Yes No

Baptized Yes No

First Communion Yes No

Confirmed Yes No

Would you or your family members like to participate in a Ministry? Finance Board Administration Sacramental Records Refreshments Stewardship Maintenance Religious Education Parish Council Other

Number of children living with you Please enter valid data.

Name Please enter valid data.

Date of Birth Please enter valid data.

School Attending Please enter valid data.

Attending our religious Education program Please enter valid data.

Catholic yes No

Baptized

First Communion Yes No

Confirmed Yes No

Name Please enter valid data.

Date of Birth Please enter valid data.

School Attending Please enter valid data.

Attending our religious Education program Please enter valid data.

Catholic Yes No

Baptized Yes No

First Communion yes No

Confirmed Yes No

Name Please enter valid data.

Date of Birth Please enter valid data.

School Attending Please enter valid data.

Attending our religious Education program Please enter valid data.

Catholic Yes No

Baptized yes No

First Communion Yes No

Confirmed Yes No

Please provide Sacramental and Birth Certificate for Children

Saint Francis of Assisi Church

1489 Donelson Pkwy; Dover, TN 37058

Parish Registration Form