Join Our Parish - Saint Anthony of Padua Catholic Church

Please fill out the form below to register your family with St. Anthony Catholic Church.

Head of Household

Full Name:*

Title

First

Last

Middle

Nickname:

Maiden Name:

Birth Date:*

Gender:*

Male

Female

Grade/Degree

Marriage Status:*

Personal Phone:*

Area Code

-

Phone Number

Personal E-mail:*

Dates and Places for Sacraments:

Ministry Interest:

Organization Interest:

Spouse Name:

Title

First

Last

Middle

Spouse Nickname:

Spouse Maiden Name:

Birth Date of Spouse:

Spouse's Gender:

Male

Female

Grade/Degree of Spouse:

Spouse's Phone:

Area Code

-

Phone Number

Spouse's E-Mail

Dates and Places for Sacraments (Spouse):

Spouse's Ministry Interest:

Spouse's Organization Interest:

Additional Family Member 1:

First

Last

Middle

Family Member 1 Birth Date:

Family Member 1 Relation:

Add. Family Member 1 Gender:

Male

Female

Add. Family Member 1 Grade/Degree:

Add. Family Member 1 Dates and Places for Sacraments:

Additional Family Member 2:

First

Last

Middle

Family Member 2 Birth Date:

Family Member 2 Relation:

Add. Family Member 2 Gender:

Male

Female

Add. Family Member 2 Grade/Degree:

Add. Family Member 2 Dates and Places for Sacraments:

Additional Family Member 3:

First

Last

Middle

Family Member 3 Birth Date:

Family Member 3 Relation:

Add. Family Member 3 Gender:

Male

Female

Add. Family Member 3 Grade/Degree:

Add. Family Member 3 Dates and Places for Sacraments:

Additional Family Member 4:

First

Last

Middle

Family Member 4 Birth Date:

Family Member 4 Relation:

Add. Family Member 4 Gender:

Male

Female

Add. Family Member 4 Grade/Degree:

Add. Family Member 4 Dates and Places for Sacraments:

Family Street Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Family Mailing Address (If Different):

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Family Phone:*

Area Code

-

Phone Number

Remarks: