Parish Registration

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St. John Vianney Parish - Registration Form

Welcome to Our Parish. We are happy to have you as a member of our parish community.
Please fill out the information below:

* Indicates required field

Date *

FAMILY NAME (Please Print) *

Parish ID # *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Email to best reach the Family *

Sunday Envelopes *

Yes No

Online Giving *

Yes No

Website: http://www.saintjohnvianneyhawaii.org/

you

YOUR NAME *

Sex *

Male Female

Birthday Date *

Marital Status *

Single Married Widowed Separated Divorced

Occupation/Employer *

Cell Phone *

Work Phone *

Baptism Received *

Yes No

Date *

First Holy Communion Received *

Yes No

Date *

Confirmation Received *

Yes No

Date *

Catholic Matrimony Received *

Yes No

Date *

spouse

SPOUSE NAME *

Sex *

Male Female

Birthday Date *

Occupation/Employer *

Cell Phone *

Work Phone *

Baptism Received *

Yes No

Date *

First Holy Communion Received *

Yes No

Date *

Confirmation Received *

Yes No

Date *

Catholic matrimony Received *

Yes No

Date *

family - names of others living with you

# 1 *

Birthday Date *

Relationship *

Baptized ? *

Yes No

Date *

First Communion ? *

Yes No

Date *

Confirmed ? *

Yes No

Date *

#2 *

Birthday Date *

Relationship *

Baptized ? *

Yes No

Date *

First Communion ? *

Yes No

Date *

Confirmed ? *

Yes No

Date *

# 3 *

Birthday Date *

Relationship *

Baptized ? *

Yes No

Date *

First Communion ? *

Yes No

Date *

Confirmed ? *

Yes No

Date *

# 4 *

Birthday Date *

Relationship *

Baptized ? *

Yes No

Date *

First Communion ? *

Yes No

Date *

Confirmed ? *

Yes No

Date *

# 5 *

Birthday Date *

Relationship *

Baptized ? *

Yes No

Date *

First Communion ? *

Yes No

Date *

Confirmed ? *

Yes No

Date *

Please check each of the areas below that may be of interest to you or to a family member or about which you would like additional information. Checking any area does not commit you to a particular activity.

Additional Information *

Baptism Information Religious Education Catechist or Aide Becoming Catholic / RCIA Parish Pastoral Council Saint Vincent de Paul Society F.A.C.E. Participant Parish/School Office Volunteer Prison Ministry Bereavement Committee

Additional Information *

Sodality of Our Blessed Lady Knights of Columbus SJV Seniors (Young Hearts) Liturgy Commission Service Commission Building Commission Blood Bank Bonor School Information Boy Scouts

Assisting at Liturgies *

Lector Eucharistic Minister Environment Minister Sacristan Usher/ Hospitality Minister Altar Server Music Minister

Thank you very much - God bless you and your beloved ones

Submit

St. John Vianney Catholic Church
A parish of the Diocese of Honolulu
Established 1962

Office hours are Monday - Friday, 9 a.m. - 4 p.m.
920 Keolu Drive, Kailua, HI 96734
Phone (808) 262-8317 | Fax (808) 772-5634
[email protected]