Please provide the following contact information:
Family Name Maiden Name Street Number Street Name Apt Number City State/Province Zip/Postal code Zip +4 Area Code Phone Number Unlisted Yes No Other Phone E-mail FAX Marriage Blessed By The Catholic Church? Date Registered School Family Yes No Subscribe to the Catholic Courier Yes No Please Send Me Envelopes? Select Frequency Weekly Monthly Automatic Withdrawal Select
List first name of each member of the family unit (include last name if different than "Family") and complete questions for each name entered. Begin with adult members of family and then each child, beginning with the oldest and ending with youngest. The "Tab key" can be used to move between fields on the form. 1. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St. Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above Occupation 2. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St. Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above Occupation List first name of children starting with oldest and ending with youngest. 3. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St.Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above 4. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St.Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above 5. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St.Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above 6. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St. Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above 7. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St.Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *List only if different from family E-Mail above 8. Title Select 1=Mr. 2=Mrs. 3=Ms. 4=Miss. 5=Dr. 6=Rev. 7=Msgr. First Name Date of Birth Gender? Select Female Male *add last name if different than "Family" Marital Status? Select Married Single Widow-er Seperated Divorced Baptized? Select Roman Catholic Other Christian No Other RCIA First Communion? Select Yes No First Penance? Select Yes No Confirmed? Select Yes No Receiving Religious Education? Select Catholic School Religious Ed Adult Ed None Disability Select Visually Impaired Deaf Hearing Impaired Develop Disabled Homebound Wheelchair Other Work Status? Select Full Time Part Time Student Retired Unemployed Service Homemaker Preschool Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing). What Can St.Louis Do for You? Select Sick! Shut-in Visit Adult Education Retreats /Prayer Group Transportation Teen Activities Have Priest Contact Me Counseling Bible Study Other Annulment Sacramental Preparation Family Education A Friend Catholic School Spiritual Direction Stephen Ministry What Can You Do For St. Louis? Liturgy Christian Formation Finance Select Liturgy Committee Lector Eucharistic Minister Altar Server Usher/Greeter Music Choir Music-lnstrument Design Childrens Liturgy Clean/ Decorate Church Sacristy Assistant Select Teacher Catholic School Volunteer Adult Education Program Ecumenical Action RCIA Youth Ministry Program Christian Formation Committee Family Education Spirituality Faire Youth Committee Select Finance Committee Building Maintenance Fund Development Thanks Giving Appeal Worker Parish Life Skills Select Baptism Visitation Ministry Lazarus Ministry Ministry of Praise Mercy Ministry/ Meals Visiting Homebound/ Nursing Sports Program Senior Citizens Program Family Program Women's Guild Welcoming Newcomers Social Activities Young Adult Programs Parish Council CFM Stephen Ministry Social Ministry Committee Facilities Committee World Hunger Task Force Pro- Cana Pastoral Care Committee Legion of Mary Coffee Hour Employment Network Hospitality Committee Red Cross Blood Drive Other Select Computer Skills Transporting Others Creative Talents Art - Posters Drama Carpenter Plumber Painter Electrician Furnish Truck or Other Equipment Office Assistant-Typing Gardening Individual Email *
List first name of each member of the family unit (include last name if different than "Family") and complete questions for each name entered. Begin with adult members of family and then each child, beginning with the oldest and ending with youngest. The "Tab key" can be used to move between fields on the form.
Needs/Skills/Interests? (Include those activities you are already doing and wish to continue as well as those you would be interested in doing).
List first name of children starting with oldest and ending with youngest.
