Family Registration Form

Welcome to our Church. Visit our web site at www.stpiusri.org for more
 information.

Click Submit Form to send this information to St. Pius X.

*********** This web page works better with JavaScript enabled. ***********
How to enable JavaScript, please visit http://www.enable-javascript.com/

*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  
       Note: Just enter the field(s) that need to be updated.
Head of Household
Title *First Name *Last Name Suffix
Maiden Name
  Birth Date *Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Confirm
   Marriage
Spouse
Title   First Name   Last Name Suffix
Maiden Name
  Birth Date   Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Confirm
   Marriage
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible
Member 1   Type  
Title   First Name   Last Name Suffix
  Birth Date   Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Confirm

Click Submit Form to send this information to St. Pius X.