St. John the Baptist&#039;s Registration

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

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

Maiden Name (if applicable) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Occupation REQUIRED Please fill out this field. Please enter valid data.

Work Phone Please enter a phone number.

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

Mailing Address (write 'same' if the same as physical) REQUIRED Please fill out this field. 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.

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

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

Catholic: Yes No

Sacraments Received: I'm Not Baptized Baptized Reconciliation/Confession Confirmed (Catholic) Holy Communion (Catholic)

Faith tradition at Baptism Please enter valid data.

Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.

Marriage Date: (if applicable) Please enter a date.

Were you married in the Catholic Church? Yes No

If not, were you granted permission by the Catholic Church to do so? Yes No

If applicable, Spouse's Date of Death Please enter a date.

Church of St. Joseph - Williston Parish
Roman Catholic Church