St. Pius Catholic Parish/St. Pius Registration/Redwood City, CA

Family last name REQUIRED Please fill out this field. Please enter valid data.

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

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

Gender of Head of Household 1 REQUIRED Please fill out this field.

Maiden Name Please enter valid data.

Marital Status REQUIRED Please fill out this field.

Address REQUIRED Please fill out this field. 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.

Email REQUIRED Please fill out this field. Please enter an email address.

Preferred Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number Please enter a phone number.

Date of Birth of Head of Household 1 REQUIRED Please fill out this field. Please enter a date.

Religion of Head of Household 1 REQUIRED Please fill out this field. Please enter valid data.

Main Language of Head of Household 1 REQUIRED Please fill out this field. Please enter valid data.

Other Language Please enter valid data.

Name of Head of Household 2 (if applicable) Please enter valid data.

Gender of Head of Household 2

Maiden Name Please enter an integer (number).

Date of Birth of Head of Household 2 Please enter a date.

Religion of Head of Household 2 Please enter valid data.

Main Language of Head of Household 2 Please enter valid data.

Would you like to receive Sunday offering envelopes? Yes, please send me envelopes. I prefer to give online at pius.org/give.

Name of Child 1 (First & Last) Please enter valid data.

Gender of Child 1 Male Female

Date of Birth of Child 1 Please enter a date.

Name of Child 2 (First & Last) Please enter valid data.

Gender of Child 2 Male Female

Date of Birth of Child 2 Please enter a date.

Name of Child 3 Please enter valid data.

Gender of Child 3 Male Female

Date of Birth of Child 3 Please enter a date.

Tell us a little bit about yourself. REQUIRED Please fill out this field.

How long have you been attending Mass at St. Pius Church? REQUIRED Please fill out this field. Please enter valid data.

I/we would like information on the following sacraments: Baptism First Reconciliation/Eucharist Confirmation Marriage Anointing of the Sick Holy Orders OCIA