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

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

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?

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

Called together by Jesus Christ, who came to restore us to friendship with the Father, we continue the work of our Savior to bring salvation to all peoples through the life-giving Church He established.

MISSION STATEMENT

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

Making the Eucharist the source and summit of our lives
Building intentional community
Preaching the Gospel to the people of Amador County
Forming missionary disciples
Reaching 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