Parishioner Record Form New

PARISHIONER RECORD FORM

Name*
Mr/Mrs/Ms/Dr Surname First Name
Date of Birth

Day
Month
Year
Have you been baptised in a Catholic Church ?
- Yes
- No
Have you received the Sacrament of Confirmation ?
- Yes
- No
Have you received the Sacrament of Reconciliation ?
- Yes
- No
Parish Join Date

Day
Month
Year
Which Parish do you regularly attend services?*
*
- New to the Parish
- Old Parishioner (update details)
Occupation
Primary Email*
Secondary Email
Email Communication*
- Yes
- No
Mobile Phone*
Preferred Method of Contact
- Email
- Phone
Residential Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Spouse/Partner Name
Mr/Mrs/Ms/Dr Surname First Name
Postal Address (if different from above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone*
Would you like to receive emails/notifications on Parish news and activities?*
- Yes
- No
Church Wedding Anniversary (Wedding Anniversary Mass Every Wednesday of the Month)
Month Year
Are you supporting the Parish through Planned Giving?*
- Yes
- No
If NO but would like to, please indicate preferred method of contribution
Methods of Planned Giving
- Automatic Payment (Account Name: St. Mark's Parish; Account Number: 02 0100 0120982 04; set up through online banking or visit your nearest bank branch)
- PushPay (Download Church App and open Donations link)
- Gifting Envelopes (Please register and collect envelopes from the Parish Office)

Children Currently Living at Home

First Name	Last Name	Male/Female	Date of Birth (dd/mm/yyyy)	Baptised Yes/No	1st Communion Yes/No	Confirmation Yes/No	School

Are you or your family part of any ministries in the Parish?*
- Yes
- No
If YES, please indicate which ones. If NO but would like to, please indicate the ministries you would like to be involved in.
Please indicate which ministries YOU ARE or WOULD LIKE to be involved:
- Children's Choir
- Children's Liturgy
- St. Mark's Youth for Christ
- Young Adults Community
- Sacramental Programme
- RCIA
- Baptism Preparation
- Alpha Group
- Catechesis of Good Shepherd
- Extraordinary Minister of Holy Communion
- Readers/Commentators
- Music Ministry
- Altar Servers
- Mass Coordinator
- Floral Arrangement
- Liturgy Committee
- Liturgy of the Word/Communion
- Collectors
- Projectionists
- St. Vincent de Paul
- Social Groups
- Ministry to the Sick
- Repairs and Maintenance
- Church Cleaning
- Recording
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