Registration Form

Registration for St. Peter Catholic Church

The following information should be filled out  by the head of the household

The “Submit” button at the bottom submits your registration to [email protected]

If you have questions concerning registration or our parish in general, please call our church office at (334) 262-7304

Are you a new parishioner or updating current parish files? *

• New Parishioner
• Updating current parish file

The following information pertains to the Head of Household

• Dr
• Mr
• Mrs
• Miss

Name *

First

Middle

Last

Date of Birth mm/dd/yyyy

Street Address

City

State

ZIP Code

Primary Phone Number

Secondary Phone Number

Work Phone Number

Email *

Baptized ?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Date of Baptism (if known) mm/dd/yyyy

Have you received the Sacrament of First Communion?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Date of Sacrament of First Communion (if known) mm/dd/yyyy

Have you received the Sacrament of Confirmation?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Date of Confirmation (if known) mm/dd/yyyy

Name of Employer (or School you are attending)

Occupation/Position

Interests/Ministries

Marital Status

• Single
• Married
• Divorced
• Widowed

IF YOU SELECTED "MARRIED" PLEASE COMPLETE THE FOLLOWING INFORMATION

If Married, were you married in the Catholic Church

• Yes
• No

Date of Marriage

Spouse Name

First

Middle

Last

Spouse Date of Birth (mm/dd/yyyy)

Spouse Primary Phone Number

Spouse Secondary Phone Number

Spouse Email

Spouse Baptized ?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Spouse Date of Baptism (if known) mm/dd/yyyy

Spouse received the Sacrament of First Communion ?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Spouse Date of Sacrament of First Communion (if known) mm/dd/yyyy

Spouse received the Sacrament of Confirmation?

• Yes
• No

If you answer "Yes" Please provide the date below (if known)

Spouse Date of Confirmation (if known) mm/dd/yyyy

Spouse Ministries/Interests

Do you have children ?

• Yes
• No

IF YOU ANSWER "YES" PLEASE FILL OUT THE QUESTIONS BELOW. ONCE THIS SECTION IS COMPLETED THE "SUBMIT" BUTTON IS AT THE END OF THIS FORM

Child 1 Name

First

Middle

Last

M/F

• Male
• Female

Date of Birth (mm/dd/yyyy)

Grade

Please select which Sacraments Child 1 has COMPLETED

• Baptism
• First Communion
• Confirmation

Child 2 Name

First

Middle

Last

M/F

• Male
• Female

Date of Birth (mm/dd/yyyy)

Grade

Please select which Sacraments Child 2 has COMPLETED

• Baptism
• First Communion
• Confirmation

Child 3 Name

First

Middle

Last

M/F

• Male
• Female

Date of Birth (mm/dd/yyyy)

Grade

Please select which Sacraments Child 3 has COMPLETED

• Baptism
• First Communion
• Confirmation

Child 4 Name

First

Middle

Last

M/F

• Male
• Female

Date of Birth (mm/dd/yyyy)

Grade

Please select which Sacraments Child 4 has COMPLETED

• Baptism
• First Communion
• Confirmation

Child 5 Name

First

Middle

Last

M/F

• Male
• Female

Date of Birth (mm/dd/yyyy)

Grade

Please select which Sacraments Child 5 has COMPLETED

• Baptism
• First Communion
• Confirmation

Comments or Questions? Let us know.

Phone

Submit

Printable Registration Form

You can also download the registration form and bring it to the parish office

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