Form 1- New Parishioners Registration – St Patrick's Parish, Pakenham

NEW PARISHIONERS REGISTRATION FORM

Welcome to St Patricks Parish Community.

If you would like to become a part of the Parish community, please fill out the form below. Our Policy is that the information on this form will only be used by the Parish and the diocese..

Family Name/Surname

Address Line 1 *

Address Line 2 *

City *

Postal Code *

Person 1 *

Use the drop-down menu to choose your title

Name *

Preferred Name *

Date of Birth

Religion *

Email *

Contact number

Person 2

Use the drop-down menu to choose your title

Name

Preferred Name

Date of Birth

Religion *

Phone Number

Email Address

CHILDREN AT HOME - Child 1 - Full name

Gender

Date of Birth

Child 2 - Full name

Gender

Date of Birth

Gender

Child 3 - Full name

Date of Birth

Would you like to receive a call from us.

Would you like to financially support the parish *

Choose your convenient option

If you have answered yes to the above question, choose your convenient option and we will get back to you.

Would you like to be a volunteer at the Parish Please specify (Readers / Eucharistic Minister - Preferred Mass, Flower Arrangements, Choir, Children -Altar Servers ) *Please note adults will need a Working with children's check linked to our Parish *

Comment or Message

I agree that the information just provided will be used by St Patricks Parish for Parish register and communication.

Phone