New Parishioner Registration
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Welcome! We are a diverse and active faith family and we always are happy to have new individuals and families join our parish community. To become a registered parishioner, please fill out the New Parishioner Form below, then click Send its end. Thank you!
* required field

Today's Date*

Last Name*

First Name*

Mailing Name (e.g., Mr. & Mrs. John Doe)

Address*

City*

State*

Zip code*

Home Phone*

Cell Phone

Family e-mail

Emergency Contact & Phone*

Date of Birth*

First Language*

Number of Family Members*

E-mail announcements: Would you like to receive occasional e-mails regarding upcoming parish events from Notices@stjeromenorwalk.org? All e-mail addresses will be kept strictly confidential.*

Please choose one of the following*

Household: Please provide the name, relationship, age, gender, and sacraments received (Baptism, Reconciliation, First Communion, Confirmation) of all family members, including yourself.*

Religious Education: If you have school age children (K-12), are you interested in enrolling them in St. Jerome’s REACH religious education programs? Choose all that apply.
REACH K-6REACH 7-8TOTAL 9-12

Your Occupation

Employer

Talent/Interests

Volunteer Ability

Disability: Do you or does a member of your family have a disability about which you wish the parish to know?*

Holy Communion: Are there any ill or disabled members of your household who would like a Holy Communion visit by a priest?*

Donations: Please choose one of the following parish donations options*
Please send me Parish donation envelopes.Please send me information about electronic donation.I prefer to place a cash donation in the collection basket as it is passed.

Your questions or additional comments.

Thank you for joining the St. Jerome family and welcome!