New Family Registration

WELCOME! Please fill in as much information as possible about all the people in your household.

New Family Registration

Which Parish are you joining? REQUIRED St Ann, Lenox St Vincent de Paul, Lenox Dale St Patrick, West Stockbridge Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Please check any of the sacraments you have celebrated REQUIRED Baptism First Eucharist Confirmation None Please fill out this field.

Address for your family: number, Street, include apartment number Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Is this the address where you receive your mail? Yes No

Mailing address, if different from physical address Please enter valid data.

Best Email Address for messages from the parish REQUIRED Please fill out this field. Please enter an email address.

Best Phone Number for calls from the parish REQUIRED Please fill out this field. Please enter a phone number.

This is a landline cell phone

May we leave a voicemail message at this number? Yes No

How many additional family members live with you? REQUIRED Please fill out this field.
Family Member 1
Family Member 2
Family Member 3
Family Member 4
Family Member 5
Family Member 6
Family Member 7
Family Member 8
Family Member 9
Family Member 10

PLEASE READ CAREFULLY

By clicking SUBMIT below, I understand that my information will be considered confidential for use by the parishes only. I understand that the parishes staff members may share this information with each other to welcome my family and me to the parish, to help us make connections with other parishioners, to explore our family's gifts and talents, and to help us feel at home at the triparish community.

I Agree. Please select this field.