Registration

Parish Registration

* Indicates required field

Family Name: *

Primary Language Spoken at home *

Head of Household

Title: *

Head of Household Name: *

First

Last

Birth Date (Month, Day, Year) *

Sacraments Received: *

Please Select Your Marital Status *

Spouse's Information (If Married)

Title: *

Spouse's Name *

First

Last

Birth Date (Month, Day, Year) *

Sacraments Received: *

Marriage Information

Date of Marriage: *

Were You Married By a Catholic Priest? *

Yes No

Wife's Maiden Name: *

Single Adults (Living in Household)

*If there are more than two single adults living in your household, please put their information into the comment box at the end of the form.

Title *

Single Adult #1 Name *

First

Last

Birth Date (Month, Day, Year) *

Sacraments Received: *

Relationship to Head of Household *

Title *

Single Adult #2 Name *

First

Last

Birth Date (Month, Day, Year) *

Sacraments Received: *

Relationship to Head of Household *

Children (18 & Under Living in Household)

*If there are more than three children living in your household, please put their information into the comment box at the end of the form. If your child is between grades K-10 they will also need to be registered in our Religious Education program in addition to providing their information on this registration form. Please contact our DRE Sue Skipp at (860) 666-3562 or dresue@annunciationnewington.com with any questions and for more information. You may also CLICK HERE to begin the process of registering for our Religious Education program.

Child #1 Name *

First

Last

Child #1 Birth Date *

Child #1 Sacraments Received: *

Child #2 Name *

First

Last

Child #2 Birth Date *

Child #2 Sacraments Received: *

CHILD #3 Name *

First

Last

CHILD #3 BIRTH DATE *

CHILD #3 SACRAMENTS RECEIVED: *

Additional Information

Which campus do you primarily attend for Mass? *

Saint Mary Church Church of the Holy Spirit

How would you prefer to contribute to the parish? *

Envelopes Online Giving

Families interested in Online Giving can sign up here: Link to Online Giving

Additional Comments or Information *

Contact Information

Please write your preferred salutation (ex: Mr. & Mrs. John Smith): *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Submit