Parish Registration

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Parish Registration

Parish Registration Form

We're so happy that you've chosen to join our faith family!

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Parish

St. Patrick - Fremont

St. Charles Borromeo - North Bend

St. Lawrence - Scribner

St. Leo - Snyder

St. Rose - Hooper

Family Surname

Today's Date

Street Address

City

State

Zip

Do you live in the area year round or seasonally?

Year Round

Seasonally

Is anyone in the family homebound?

Yes

No

Preferred Language

English

Spanish

May we share your personal information with our Parish Ministries?

Yes

No

If you are married, what is the date of your marriage?

Is the marriage recognized (validated) by the Catholic Church?

Yes

No

Unsure

1st Head of Household - Marital Status

Single

Married

Separated

Divorced

Widowed

1st Head of Household - First Name

Middle Name

Last Name

Maiden Name (if applicable)

1st Head of Household - Primary Phone Number

Additional Phone Number

1st Head of Household - Email Address

Would you like parish emails/texts?

Email

Text

Both

No

Gender

Male

Female

1st Head of Household - Date of Birth

1st Head of Household - Occupation/Employer

Religion

Practicing?

Yes

No

1st Head of Household - Sacraments Completed

Baptism

1st Communion

Confirmation

1st Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

2nd Head of Household - Marital Status

Single

Married

Separated

Divorced

Widowed

2nd Head of Household - First Name

Middle Name

Last Name

Maiden Name (if applicable)

2nd Head of Household - Primary Phone Number

Additional Phone Number

2nd Head of Household - Email Address

Would you like parish emails/texts?

Both

Email

Text

No

Gender

Male

Female

2nd Head of Household - Date of Birth

2nd Head of Household - Occupation

Religion

Practicing?

Yes

No

2nd Head of Household - Sacraments Completed

Baptism

First Communion

Confirmation

2nd Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

3rd Household Member - First Name

Middle Name

Last Name

Gender

Male

Female

3rd Household Member - Date of Birth

3rd Household Member - Occupation

3rd Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

3rd Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

4th Household Member - First Name

Middle Name

Last Name

Gender

Male

Female

4th Household Member - Date of Birth

4th Household Member - Occupation

4th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

4th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

5th Household Member - First Name

Middle Name

Last Name

Gender

Male

Female

5th Household Member - Date of Birth

5th Household Member - Occupation

5th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

5th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

6th Household Member - First Name

Middle Name

Last Name

Gender

Male

Female

Date of Birth

6th Household Member - Occupation

6th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

6th Household Member - Church of Baptism

City

State

Additional Notes (if applicable)

Anything else you want to let us know?

Thank you for registering at St. Patrick! Be sure to complete the Ministry Interest Form so we can connect you with the ways you'd like to get involved! You will be directed to that next, and can also find it under the "Belong" tab. Welcome to our parish!

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Mass Schedule

St. Patrick Catholic Church Location

3400 E 16th Street, Fremont, NE 68025

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Parish Registration

Parish Registration Form

Parish Registration Form