Become a member – Presentation of the Blessed Virgin Mary Parish

Parishioner’s FULL Name

Parishioner’s Date & Place of Birth

Parishioner’s Parents Full Name

Parishioner’s Permanent Address

Parishioner’s Civil Status
SingleChurch MarriedCivilly MarriedDivorcedCommon Law UnionWidowedSeparatedOther

Parishioner’s Canonical Status
PriestDeaconReligiousLay Person

Parishioner’s Home Phone

Parishioner’s Cell

Parishioner’s Office Phone

Parishioner’s E-mail

Spouse Full Name

Spouse Address

Will the Spouse register as a Parishioner as well?
YesNoAlready Registered, please merge infoAlready registered, don’t merge info

Language spoken at home

Others living within your household (relation with you)