Today's Date Required information in red
Family Information
Family Last Name
Residence Address
Mailing Address
Mailing Address
Home Phone 


Work Phone 



Cell Phone
Marital Status
Head of Household Information

Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed


Occupation
Spouse or Significant Other Information
First & Last Name

Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed


Occupation
Children and Other Adults Living at this Address (add adult names only if they will not register separately)
1. First & Last Name Gender





Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed 

2. First & Last Name 






Gender

Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed

3. First & Last Name Gender





Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed 

4. First & Last Name 






Gender

Religion



Country of Birth



Date of Birth

Baptized

First Communion

Confirmed

Additional Information
1. For donation tracking, do you want to receive offertory envelopes?
2. Spouse's Maiden Name (Important, if applicable)
3. In order for us to help serve you and reduce the expenses incurred sending letters and postcards to our parish family, your email address is requested. Please call us when this address changes or is eliminated. Thank you.
My preferred correspondence method is
Email address:




enter "none" if you do not have or do not want to use an email address.
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Do you need to submit another form to add more children and/or adults? If yes, then:
1. Submit this page first.
2. On the acknowledgement page, click "back."
3. In the Residence Address space on the new blank form, type "PAGE 2" (or "PAGE 3," etc).
4. Fill in all the required fields again.
5. In the "Children and Other Adults Living at this Address" section, continue to add names and information.
6. Submit form.
Before you submit this form, we would like to know if there are any church ministies you would be interested in. If so, please
indicate that here:
Saint Rita Catholic Church
Wellington, Florida
Church Registration Form For New Members
Please DO NOT use this form to notify us of updates to your original registration information; call the church office.
Enter dates as: mm-dd-yyyy. Enter phone numbers as: 999-999-9999. Thank you.
If same as Residence Address, skip to Home Phone