NEW PARISHIONER REGISTRATION FORM

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Parishioner Registration Online Form

El Formulario de Registro

Last Name / Apellido

First Name / Primer Nombre

Middle Name / Segundo Nombre

Street Address / Dirección

P. O. Box / Caja

Apartment/Unit # / Apartamento/# de Unidade

City / Ciudad

State / Estado

Zip Code / Código Postal

Home Phone No. / Teléfono de la casa

Alternate Phone No. / Segundo numero telefónico

Your Email Address / Correo electrónico

Your Birth Date / Fecha de Nacimiento

Select one *

Male / Hombre

Female / Mujer

Sacraments received in the Catholic Church / Sacramentos recibidos en la Iglesia Católica * Required

Baptism / Bautismo

1st Reconciliation / Primera Reconciliación

1st Communion / Primera Comunión

Confirmation / Confirmación

Do you want to receive offertory envelopes? Gustarian sobres para su donación en la misa? *

Yes / Si

Marital Status / Estado Marital * Required

Single/Unmarried | Soltero(a) No casado(a)

Divorced/Annulled | Divoriedo(a)/Annulado(a)

Widowed | Viudo(a)

Married | Casado(a)

If married, were you married in the Catholic Church? / Si fue casado, fue casdo en la Iglesia Católica? * Required

Yes / Si

Wedding Date / Fecha de la boda

SPOUSE'S INFORMATION / INFORMACIÓN DEL CÓNYUGE

Last Name / Apellido

First Name / Primer Nombre

Middle Name / Segundo Nombre

Religion / Religión

Spouse's Birth Date / Fecha de Nacimiento de esposo(a)

Spouse's Email Address / Correo electrónico de esposo(a)

Sacraments received in the Catholic Church / Sacramentos recibidos en la Iglesia Católica

Baptism / Bautismo

1st Reconciliation / Primera Reconciliación

1st Communion / Primera Comunión

Confirmation / Confirmación

PURPOSE STATEMENT

To know Christ and to make Him known

MISSION STATEMENT

Inspired by the example of St. Katharine Drexel, we strive to serve the Lord by:

Make the Eucharist the source and summit of our lives
Build intentional community
Preach the Gospel to the people of Amador County
Form missionary disciples
Reach out to those in need

ADDRESS

11361 Prospect Drive

Martell, CA

(Physical Address)

11361 Prospect Drive

Jackson, CA 95642

(Mailing Address)

OFFICE HOURS

Tuesday-Friday 9 AM - 5 PM

Phone calls and in-person visits with staff are welcome during these hours.

(209) 223-2970

office@amadorcatholic.com

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