Saint Ann New Registration Form

Parish Registration Form

Date

Would you like parish giving envelopes? *

Yes, I would like envelopes

No, I do not want envelopes

I will participate in online giving. (Register on the home page.)

Free Text

Individual 1/ Head of Household

Name (Include Maiden Name if Female)

Religion

Gender

Date of Birth

1st Language

Free Text

Contact Information

Individual 1 Email

Primary Home Phone Number

Cell Phone Number

Address

Line 2

City

State

Zip Code

Country

Emergency Contact

EC Phone Number

By checking below, I give permission for my name/photo, my spouse's name/photo, my minor children's name/photo to be printed in Saint Ann bulletin, newsletter, website.

My name/photo

My spouses name/photo

My minor childrens name/photo

Please do not use my name/photo

Free Text

2nd Individual's Information (Spouse)

Name (Maiden Name if applicable)

NIckname

Religion

Gender

Date of Birth

Individual 2 Email

Cell Phone

1st Language

Free Text

Children, Including Adult Children

Last/First/Middle Name

Gender

Date of Birth

Place of Birth

Last/First/Middle Name

Gender

Date of Birth

Place of Birth

Last/First/Middle

Gender

Date of Birth

Place of Birth

Last/First/Middle

Gender

Date of Birth

Place of Birth

Catholic Churches of

Saint Ann, Immaculate Conception, & All Saints, MN