St. Joseph Catholic Church

TRENTON, MI

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- Yes, I would like to become
  a member of the parish community of St. Joseph Catholic Church. Please use
  the fillable form to the right
  to complete the Registration. Information for office use only.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Date Registered REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title
  
  Spouse's Name Please enter valid data.
  
  Spouse's Title
  
  Please indicate your preference regarding how your family name appears on mailing labels:
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
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  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Mailing address if different from above:
  
  Street Address 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.
  
  Contact Information:
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cellular Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Unlisted? unlisted
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Family Information:
  
  Family Status REQUIRED Please fill out this field.
  
  (if answered "other" to Family Status) Please enter valid data.
  
  Place of Marriage (Name of Parish). If not at a parish, please fill in where 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.
  
  Date of Marriage REQUIRED Please fill out this field. Please enter a date.
  
  Adult Household Members REQUIRED Please fill out this field.
  
  Adult Household Member 1
  
  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.
  
  Education (check all that apply) REQUIRED Grade School High School Some College College Post-Grad Please fill out this field.
  
  Second Language? Please enter valid data.
  
  Baptismal Denomination REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Attended R.C.I.A? Yes No
  
  If yes to above, approximate date? Please enter valid data.
  
  Sacraments Received? Baptism First Communion Confirmation
  
  Any Special Needs?
  
  Adult Household Member 2
  
  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.
  
  Education (check all that apply) REQUIRED Grade School High School Some College College Post-Grad Please fill out this field.
  
  Second Language? Please enter valid data.
  
  Baptismal Denomination REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Attended R.C.I.A? Yes No
  
  If yes to above, approximate date? Please enter valid data.
  
  Sacraments Received? Baptism First Communion Confirmation
  
  Any Special Needs?
  
  Adult Household Member 3
  
  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.
  
  Education (check all that apply) REQUIRED Grade School High School Some College College Post-Grad Please fill out this field.
  
  Second Language? Please enter valid data.
  
  Baptismal Denomination REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Attended R.C.I.A? Yes No
  
  If yes to above, approximate date? Please enter valid data.
  
  Sacraments Received? Baptism First Communion Confirmation
  
  Any Special Needs?
  
  Adult Household Member 4
  
  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.
  
  Education (check all that apply) REQUIRED Grade School High School Some College College Post-Grad Please fill out this field.
  
  Second Language? Please enter valid data.
  
  Baptismal Denomination REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Attended R.C.I.A? Yes No
  
  If yes to above, approximate date? Please enter valid data.
  
  Sacraments Received? Baptism First Communion Confirmation
  
  Any Special Needs?
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Check all that apply Received First Communion/Reconciliation Has been Confirmed Attends Religious Education needs Religious education needs to be baptized
  
  Special Needs?
  
  Baptism Date Please enter a date.
  
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