New Parishioner

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New Parishioner

New to Our Parish?

Please fill out this form to register with Ss. Peter & Paul Parish!

Parishioner Registration

* Indicates required field

Family Name *

Phone *

Street Address *

City *

State *

Zip *

Email Address *

Head of Household Name *

Religion *

Date of Birth *

Baptized? *

Yes No

If baptized, please provide Church & City *

First Communion? *

Yes No

Confirmed *

Yes No

Marital Status *

Marriage Date *

Maiden Name *

Married by a priest? *

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Convert? *

Yes No

Spouse Name *

Religion *

Baptized? *

Yes No

Date of Birth *

If baptized, please provide Church & City *

First Communion *

Yes No

Confirmed? *

Yes No

Maiden Name *

Convert? *

Yes No

Children/Others Living in Household

Name *

Relationship *

Religion *

Date of Birth *

Baptized? *

Yes No

If baptized, please provide Church & City *

First Communion *

Yes No

Confirmation? *

Yes No

Name *

Relationship *

Religion *

Date of Birth *

Baptized? *

Yes No

If baptized, please provide Church & City *

First Communion *

Yes No

Confirmed? *

Yes No

Name *

Relationship *

Religion *

Date of Birth *

Baptized? *

Yes No

If baptized, please provide Church & City *

First Communion? *

Yes No

Confirmed? *

Yes No

Comment *

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Ss. Peter & Paul Catholic Church

204 W Mill Street, Waterloo, IL
Phone: (618) 939-6426
Fax: (618) 939-2011

Home
About Us
- Parish History >
  - Fr. Seyer O Holy Night
- Worship Opportunities
Parish Calendar
Get Involved
Faith Formation
- Adult Faith Formation
- Youth Faith Formation
ACTS
- Past Retreats
PSR
Bulletins
Sacraments
- Baptism
Become a Catholic
New Parishioner
Our School
Parish Updates
- Photos
Past Publications