Communication Request Form Expand NAME OF REQUESTOR(Required) First Last EMAIL(Required) CONTACT PHONENAME OF CHURCH AND ORGANIZATION NAME OF EVENT DATE OF EVENT MM slash DD slash YYYY DATE AND TIME OF EVENT Hours : Minutes AM PM AM/PM BRIEF COMMUNICATION TEXT COMMUNICATION AREAS NEEDED Bulletin Website Facebook Parish Email Pulpit Announcement START DATE FOR COMMUNICATION MM slash DD slash YYYY END DATE FOR COMMUNICATION MM slash DD slash YYYY UPLOAD FILES/LOGOS/MEDIA Drop files here or Select files Max. file size: 512 MB. DO YOU NEED A GRAPHIC/MEDIA DESIGNED?YesNoPLEASE DESCRIBE YOUR GRAPHIC/MEDIA NEEDSANY ADDITIONAL DETAILS/COMMENTS THAT WOULD HELP ME BEST MEET YOUR COMMUNICATION NEEDS Becoming a Member Expand If you were not baptized at one of our Parishes, please include a copy of your baptism certificate with your registration. "*" indicates required fields What Parish would you like to join?* Holy Cross Our Lady of the Rosary St. Christopher St. John the Baptist St. Peter Name (Head of Household)* Mr.Mrs.MissMs.Dr.Prof.Rev.specify Military Prefix First Last Address* Street Address Address Line 2 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 Phone Number*Unlisted* Yes No Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Catholic Yes No Marital Status*SingleMarriedSeparatedDivorcedWidow/WidowerSpouse* Mr.Mrs.MissMs.Dr.Prof.Rev.specify Military Prefix First Last Date of Birth (Spouse)*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Catholic (Spouse) Yes No ChildrenBaptism CertificateMax. file size: 512 MB.To avoid problems or misunderstandings, especially when planning Baptisms, Marriages, or if you have special requests for the parish, etc., please be sure that you are registered and are an active member of the parish. If you answer “yes” to any of the questions below and are not registered, please do so today.Have you moved away from your parental home?* Yes No Are you newly married or starting your own family?* Yes No Are you living with your parents, but over eighteen?* Yes No Do you have a change in your marriage status?* Yes No NameThis field is for validation purposes and should be left unchanged. Wedding Intake Form Expand Name of Requestor(Required) First Last Bride Name(Required) First Last Bride Email(Required) Bride Phone(Required)Groom Name(Required) First Last Groom Email(Required) Groom Phone(Required)Proposed Wedding Date(Required) MM slash DD slash YYYY (at least six months in advance)Has either party been married before?(Required) Yes No Proposed Wedding Location Proposed Celebrant Additional Information
