St. Vincent de Paul Parish
Parish Registration Form and Information Update
Last Name:
Send mail to:
(e.g. Mr. & Mrs. Tim Smith, Ms. Mary Smith, Mary and Tim Smith)
Address:
City/State/Zip:
Phone: Home:
Work:
Unlisted?
Yes
No
Cell
Email
List names of all in your household living at the above address:
First Name
(and Last Name
if different from above)
Date of Birth
Male/
Female
Catholic?
Baptized?
First
Communion?
Confirmed?
Occupation /Work Phone
(optional)
or
Current School & Grade
Male
Female
Yes
No
Yes
No
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Yes
No
Yes
No
Is there any way we can be of help to you? (i.e. Bereavement, special needs, etc.)
Does anyone in your household need sacramental preparation? (Baptism, Eucharist, Confirmation, Penance, Marriage)?
Yes
No
If yes, what sacrament(s)
Would you like a pastoral visit?
Yes
No
Would you like to support the parish through our envelope program?
Yes
No
Would you like to receive THE EVANGELIST, the newspaper of the Albany Diocese?
Yes
No