PARISH REGISTRATION

A Message from the Pastor

 

Welcome to Saint John Neumann Parish. We hope that you will be an active participant in our liturgies and ministries. So that we can get to know you a little better, please complete the form below and either bring it or send it to the rectory, or drop it in the basket on Sunday. We look forward to meeting you in person; please introduce yourself at Mass.

Sincerely yours,

Fr. James McKeaney, Pastor

The Parish needs your time and talent. Complete the link and fill out the form to match your interests with our needs.         

Time and Talent

St. John Neumann Parish Registration Form

Registration Date ________________

Family Name _______________________________

 

 

 

Phone __________________

 

Street Address ___________________________________

Apt. No.__

 

Owner __

Tenant ___

 

Town ___________________________________

Zip  ___________

Boro/Township __________________________

 

E-mail Address __________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Individual's Name

 

Date of Birth

Religion

Baptized

Confirmed

Status

Marriage

Occupation

(Wife's Maiden Name)

 

Month/Day/Year

 

 

 Y = Yes

Y = Yes

S-M-D-W

V = Valid

or

 

 

 

 

 

 

 

N = No

N = No

 

I = Invalid

School and grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

Other Adults

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marriage Date _________________

Church _______________

Location _________________________