New Parishioner Information
St. Gabriel Catholic Church  3016 Providence Road  Charlotte, N.C. 28211  704-364-5431

 

New Parishioner Registration Form

Today's Date :(mm/dd/yyyy) Salutation Preferred: Mr. Ms. Mrs. Dr. Dr. and Mrs. Dr. and Ms. Mr. and Mrs. Mr. and Ms. Mr. and Dr. Other    Other: Last Name:                First Name: Spouse Name: Address:  Apt #:   City:   State:   Zip Code:    Street Address (if using P.O. Box):  Neighborhood/Apt Complex:  Home Phone Number:      Unlisted? N Y     Fax Phone Number:                 E-Mail Address:  Marital Status: Single Engaged Married Separated Divorced Widowed N/A Transferring from another parish? Y N   Parish Name: City,State:

ADULTS in the Family

Position: Head of Houshold Spouse Adult Child Adult Relative Adult Friend N/A First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received : Baptism:  N/A Yes No    Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

Second ADULT in the Family

Position: Head of Houshold Spouse Adult Child Adult Relative Adult Friend N/A First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received : Baptism:  N/A Yes No    Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

Third ADULT in the Family

Position: Head of Houshold Spouse Adult Child Adult Relative Adult Friend N/A First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received : Baptism:  N/A Yes No    Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

First CHILD in the Family

Position: N/A Child Adult Child First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received :   Baptism:  N/A Yes No     Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

Second CHILD in the Family

Position: N/A Child Adult Child First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received :   Baptism:  N/A Yes No     Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

Third CHILD in the Family

Position: N/A Child Adult Child First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received :   Baptism:  N/A Yes No     Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

Fourth CHILD in the Family

Position: N/A Child Adult Child First Name:   Nickname:    Maiden/Last Name:    Religion:   Ethnicity:   Disabilities (Specify): Job Title:   Occupation:   Employer/School: Work Telephone #:   Ext.: Degree/Grade:   Gender: M F   Date of Birth   (mm/dd/yyyy)        Date of Marriage:   Sacraments Received :   Baptism:  N/A Yes No     Penance: N/A Yes No    Eucharist:  N/A Yes No   Confirmation:  N/A Yes No

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When you click on 'Submit', this information is emailed to St. Gabriel Catholic Church