Parish Registration The information in this registration will help us get to know you better and assist you in becoming part of our parish life. This information is for Parish use only. Church of Registration* St. Augustine, Boyne Falls St. Matthew, Boyne City Residency* Year Round Summer Winter Will you use envelopes?* Yes No Head of HouseholdName:* First Middle Last Maiden (if applicable):Address* Street Address Apt# City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Alternative Address:Home Phone #:*Unlisted? Yes Other Phone #:Email (required):* Occupation:Birthdate:Employer:Religion:Baptism: Yes No Date:Church/City:Sacramental Information (if known)Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:SpouseName: First Middle Last Maiden (if applicable):Email (required): Occupation:Birthdate:Employer:Religion:Baptism: Yes No Date:Church/City:Sacramental Information (if known)Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Marital Status:Marital Status:SingleMarriedSeparatedDivorcedAnnulledWidowedMarriage Date:Church Name:City/State:Children living in your home (under the age of 18 years) [Anyone over 18 is considered an adult in the Catholic Church and should register separately.]Add a child? Yes Child 1Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 2Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 3Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 4Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 5Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 6Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 7Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 8Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Add a child? Yes Child 9Name:* First Middle Last Birthdate:Gender Male Female SchoolGradeBaptism: Yes No Date:Church/City:Confirmation: Yes No Date:Church/City:First Eucharist: Yes No Date:Church/City:Penance: Yes No Date:Church/City:Additional InformationShould we be aware of any handicaps?Would you be interested in joining or learning more information about: Alter Server Chorale/Cantor Education Commission Extraordinary Ministers of Holy Communion Family Faith Formation Knights of Columbus Marriage Prep Team Ministers of the Word Out Reach Pastoral Council RCIA Sacramental Preparation Sacristans Scripture Sharing Ushers Worship Commission Youth Ministry NameThis field is for validation purposes and should be left unchanged.
