CHRIST THE KING CATHOLIC CHURCH
Membership Registration Form
Check One:
Married
Single
If YES:
Catholic Church Marriage
Civil Church Marriage
Other Marriage
If NO:
Divorced
Widow(er)
Separated
 
Family Last Name:
Wife's Maiden Name:
Date:
Previous Parish Name
Address:
Family Home Phone:
City:
Fax Number:
Zip:
Unlisted?:
Yes
No
Can we list in Church Directory?:
Yes
No
City / State
Email (Family - Very Important):
His Email:
Her Email:
His:
Her:
Family Members
Names
Birthdate
MM/DD/YY
Gender
M/F
Employer Name
Position
Business
Phone
Religion
Bapt*
Y / N
Recon**
Y / N
Euc***
Y / N
Con****
Y / N
    *  Baptism           
  **  Reconciliation (Confession)
***  1rst Eucharist 
****  Confirmation
VOLUNTEER INTERESTS
Altar Society - Circles Of Care
St. Ann's
Your Ministry
Choir
St. Vincent dePaul
Other
 
Please fill out ALL the information below
Please list ONLY those living at the above address

Cell Phone or Pagers
Please Indicate C or P