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New Parishioner Registration

- About Us
Contact Us
- Karen McDonald
  
  Registrar
  
  913-491-5017
  karenkcnativity.org

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- Welcome and thank you for your interest in joining Church of the Nativity. Please fill out the form below, and we will be in contact with you soon.
- Head of Household:
- Title (Mr., Mrs., Ms...) Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Main Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Main Phone Listed Yes No
- Cell Phone Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- 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.
- Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
- Subdivision Please enter valid data.
- Employer Please enter valid data.
- Occupation Please enter valid data.
- Work Phone Number Please enter valid data.
- Marital Status: Single Married Divorced Widowed
- Catholic Yes No
- We like to welcome our new parishioners by publishing their names in our bulletin. May we publish yours? REQUIRED Yes No Please fill out this field.
- Spouse's Information
  
  Title (Mr., Mrs., Ms...) Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
- Email Please enter an email address.
- Cell Phone Please enter valid data.
- Employer Please enter valid data.
- Occupation Please enter valid data.
- Work Phone Number Please enter valid data.
- Catholic Yes No
- Marriage Date (MM/DD/YYYY) Please enter valid data.
- Tell us about yourself:
- What groups were you and/or your family involved in at your former parish?
- Do you have other relations in the parish? Please list their name and relationship.
- Are there certain ministries or groups you would like more information about?
- Number of children or adult relatives in the household. REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Family Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (if different) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  School Attending Please enter valid data.
  
  Year in School Please enter valid data.
  
  Sacrament Information:
  
  Baptism:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  First Communion:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
  
  Confirmation:
  
  Date Please enter a date.
  
  Name of Church: Please enter valid data.
  
  City/State Please enter valid data.
Submit

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New Parishioner Registration

Head of Household:

Tell us about yourself:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation:

Sacrament Information:

Baptism:

First Communion:

Confirmation: