Parish Registration

Thanks for taking a moment to register your household's information with our Parish Center. Please fill out the form as completely as possible, then click submit.

This information is...
  •  
Family last name
  •  
Name of Head of Household 1
  •  
Maiden Name (if applicable)
  •  
Gender of Head of Household 1
  •  
Date of birth of Head of Household 1 //
  •  
Marital status of Head of Household 1
  •  
Religion of Head of Household 1
  •  
Main Language of Head of Household 1
  •  
Other Language
  •  
Name of Head of Household 2
  •  
Maiden Name (if applicable)
  •  
Gender of Head of Household 2
  •  
Date of birth of Head of Household 2 //
  •  
Religion of Head of Household 2
  •  
Main Language Head of Household 2
  •  
Other Language
  •  
Contact Information
Primary phone --
  •  
This number is a...
  •  
Secondary phone --
  •  
This number is a...
  •  
Email address
  •  
Alternate email address
  •  
Mailing address
  •  
Would you like to receive Sunday offering envelopes?
  •  
Children
Child 1
  •  
Gender of Child 1
  •  
Date of birth of Child 1 //
  •  
Child 2
  •  
Gender of Child 2
  •  
Date of birth of Child 2 //
  •  
Child 3
  •  
Gender of Child 3
  •  
Date of birth of Child 3 //
  •  
Child 4
  •  
Gender of Child 4
  •  
Date of birth of Child 4 //
  •  
Tell us a little bit about yourself.
  •  
How long have you been attending Mass at St. Pius Church?
  •  
I/we would like more information on the following ministries...
  •  
 How would you like to get involved at St. Pius?
I/we would like more information on the following sacraments...
  •  
Image Release
I/we hereby consent and authorize St. Pius Church to use photos of me/us for the church website or bulletin or for the purpose of news releases, advertising, publicity, publication, or distribution in any manner whatsoever to promote St. Pius Church. I hereby release St. Pius Church from all liability in connection with all such uses.
I have read and accept the above agreement on behalf of my household.
  •  
 Can we use photos of you and your family in our website and bulletin?
Parishioner Agreement
By submitting this form, I/we commit to being active, participating, and contributing member(s) of St. Pius Church.
  •