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ST. THOMAS THE APOSTLE CHURCH
DIGITAL REGISTRATION FORM

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

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

Apt. #: 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.

Are you already a parishioner with your parents and are now looking to become a parishioner on your own?

PARISHIONER 1

Title REQUIRED Please fill out this field.

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

Maiden Name (if applicable) Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth: REQUIRED Please fill out this field. Please enter valid data.

Language(s) Spoken at Home: REQUIRED Please fill out this field. Please enter valid data.

Race REQUIRED Please fill out this field.

Religion: REQUIRED Please fill out this field. Please enter valid data.

Occupation: Please enter valid data.

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

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

Baptism: Yes No

Communion: Yes No

Confirmation: Yes No

PARISHIONER 2 (OPTIONAL)

Title

Name: Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth: Please enter valid data.

Language(s) Spoken at Home: Please enter valid data.

Race

Religion: Please enter valid data.

Occupation: Please enter valid data.

Phone Number: Please enter a phone number.

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

Baptism: Yes No

Communion: Yes No

Confirmation: Yes No

MARITAL STATUS REQUIRED Single Married by a priest or deacon Married, but not by a priest or deacon Widow Please fill out this field.

Location (Name of location, street address):

Date (MM/DD/YYYY): Please enter valid data.

Or choose one of the following: Civil Marriage, Marriage Outside of Catholic Church Divorced Single Widow Widower

CHILDREN LIVING WITH YOU

If there are children living with you, please list the following for each individual child:

Name
Gender
Date of Birth
Baptism Date
Church of Baptism
Whether they have received the sacrament of First Communion (Yes/No)
Location of First Communion (if applicable)
Whether they have received the sacrament of Confirmation (Yes/No)
Location of Confirmation (if applicable)

Children Living With You

For those with children approaching school-age, or those with school-aged children, would you be interested in learning more about our school?

St. Thomas the Apostle CATHOLIC Church

Glen Mills, PA

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