Parish Registration

Welcome to Saint Brigid Parish. Please complete as much of the requested information as possible; all information provided will be kept confidential. We recommend that you review the requested information and have the information ready when you fill out the form. The form will time out if it is not completed within 60 minutes of when you start to fill it out.

If you have additional children, or other adults, to register that you were unable to register via the space provided on the Parish Registration form, please email their information to info@stbrigidparish.org . Please be sure to include your family surname and your full name with the email. This email address will be provided again once you complete and submit the registration form below.

Family Surname*
Mailing Address 1*
Mailing Address 2
City*
State*
Zip Code*
Street Address 1
Street Address 2
City
State
Zip Code
Home Phone Number*
E-Mail Address*
Validate E-Mail*
Your Information
Salutation
First Name*
Middle Name
Last Name*
Birth Date (MM/DD/YYYY)*
Cell Phone Number
Occupation
Employer
Work Place Phone
Religion
Highest School Grade Completed
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession (Y/N)
Confirmation (Y/N)
Confirmation Date (MM/DD/YYYY)
Confirmation Place
Spouse Information
Salutation
First Name
Middle Name
Last Name
Birth Date (MM/DD/YYYY)
Cell Phone
Date of Catholic Marriage
Maiden Name
Occupation
Employer
Work Place Phone
Religion
Highest School Grade Completed
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession(Y/N)
Confirmation (Y/N)
Confirmation Date (MM/DD/YYYY)
Confirmation Place
Children Information
Child 1
First Name
Middle Name
Last Name
Gender (M/F)
Birth Date (MM/DD/YYYY)
School
Grade
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession (Y/N)
Confirmation (Y/N)
Confirmation Date (MM/DD/YYYY)
Confirmation Place
Child 2
First Name
Middle Name
Last Name
Gender (M/F)
Birth Date (MM/DD/YYYY)
School
Grade
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession(Y/N)
Confirmation (Y/N)
Confirmation Date (MM/DD/YYYY)
Confirmation Place
Child 3
First Name
Middle Name
Last Name
Gender (M/F)
Birth Date (MM/DD/YYYY)
School
Grade
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession (Y/N)
Confirmation (Y/N)
Confirmation Date
Confirmation Place
Other Adult
Salutation
First Name
Middle Name
Last Name
Birth Date (MM/DD/YYYY)
Cell Phone
Occupation
Employer
Work Place Phone
Religion
Highest School Grade Completed
Catholic Sacraments Celebrated:
Baptism (Y/N)
Baptism Date (MM/DD/YYYY)
Baptism Place
Communion (Y/N)
Reconciliation/Confession (Y/N)
Confirmation (Y/N)
Confirmation Date (MM/DD/YYYY)
Confirmation Place
Other Information
I would like to receive offertory envelops (Y/N)
Does a shut-in live in your home? (Y/N)
Name of Shut-In
Do you have Primary care responsibility for a Catholic in an area nursing home or institution whom we should also serve? (Y/N)
Name of person we should also serve
I would Like to offer my gifts/talents as a:	Lector Eucharistic Minister Choir Member Cantor Religious Education Teacher Other (specificy below)
Other Gifts/Talents you would like to offer
Comment

* Required

Parish Registration Mass Intention

St. Brigid Parish 59 Main Street ~ Millbury, Massachusetts, 01527 • Phone (508) 865-6624 • Fax (508) 865-3101

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Parish Registration