Please fill out as much information as you can about the Members of your Household. Transfiguration Parish Registration Form Parish Registration FormWelcome to Transfiguration! Please register all members of your household. Encourage all Adult Children (18+/College) to register as a member.Date(Required) MM slash DD slash YYYY Today’s Date Current Parish Name, City, State If you are joining our parish from another Catholic Church, please provide that information.Family InformationFamily Name(Required) Last Name of Primary Member in Household. Each Member should register with their formal names.Family Email Address (Email used for All Church Electronic Communication) Family Primary Phone(Required)(Phone number used for contact from Transfiguration)Mailing Name(Required) Formal Name for USPS MailingsFamily Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Preferred Family Language English Spanish English/Spanish Contact and Publishing InformationContact and Outreach informationCan we share this information with groups or ministries who may want to contact you? You may choose to keep your information private. Share Phone Number Share Email Address Share Mailing Address Only DO NOT SHARE MY INFORMATION Other information Send Information for Online Giving Receive Visitors In Home Subscribe to the GA Bulletin ($14 donation) Send information about Faith Formation Options Send information about Sacraments, Sacrament Preparation or Becoming Catholic at Transfiguration Do You wish to receive offertory envelopes>(Required) No Offertory Envelopes Yes, Please send our family Offertory Envelopes (Please opt NO if your family will use our online giving options in order to use fewer parish and paper resources)Member InformationMember 1 (Formal Name) Primary Contact(Required) Mr., Mrs., Dr., Sr., Sra.Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Member #1: Preferred Name Ex. Formal Name “Edward”, Preferred Name “Ed” or Formal Name “Elizabeth”, Preferred Name “Betty” Member #1: Maiden Name Member 1: Age Range(Required) Adult (18+) Minor (Under 18) Member #1: Gender M F Member #1: Date of Birth(Required) Month Day Year Please Provide DOB for Each MemberMember #1: Cell Phone Number(Required)Member #1: Email Address(Required) Email Address for Individual or Small Group Communications from TransfigurationSacrament InformationAdd Sacrament Information Yes Not at this time Member #1: Sacrament InformationDates of Sacraments for Members (If known) Member Marital Status Single Married Widowed Divorced Separated Baptism Yes No Date of Baptism (if known) Location of Baptism Reconciliation Yes No Date of Reconciliation (if known) Location of Reconciliation First Eucharist Yes No Date of First Eucharist (if known) Location of First Eucharist Confirmation Yes, Confirmed No Date of Confirmation (if known) Location of Confirmation Marriage Status Catholic Marriage Civil Marriage Date of Marriage Month Day Year Location of Marriage Date of and Location Civil Marriage. Member #1: Emergency Contact InformationEmergency Contact (Name) Emergency Contact (Phone)Additional MembersAdd Additional Members (#2) Yes No Add Spouse, Children, or other Members of our Household (Catholic or Non-Catholic) Additional Member (#2)Member #2 : (Formal Name) Mr., Mrs., Dr., Sr., Sra.Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Member #2: Preferred Name Ex. Formal Name “Edward”, Preferred Name “Ed” or Formal Name “Elizabeth”, Preferred Name “Betty” Member #2: Maiden Name Relationship to Member #1(Required) Member #2: Age Range Adult (18+) Minor (Under 18) Member #2: Gender M F Member #2: Date of Birth Month Day Year Please Provide DOB for Each MemberMember #2: Cell Phone NumberAlternate Phone Number for Member if different.Member #2: Email Address Email Address for Individual or Small Group Communications from TransfigurationAdd Sacrament Information (Member #2) Yes Not at this time Member #2: Sacrament InformationDates of Sacraments for Members (If known) Member Marital Status Single Married Widowed Divorced Separated Baptism Yes No Date of Baptism (if known) Location of Baptism Reconciliation Yes No Date of Reconciliation (if known) Location of Reconciliation First Eucharist Yes, First Eucharist No Date of First Eucharist (if known) Location of First Eucharist Confirmation Yes, Confirmed No Date of Confirmation (if known) Location of Confirmation Marriage Status Catholic Marriage Civil Marriage Date of Marriage Month Day Year Location of Marriage Date and Location of Civil Marriage Member #2: Emergency Contact InformationMember #2: Emergency Contact (Name) Member #2: Emergency Contact (Phone)Add Additional Members (#3) Yes No Add Spouse, Children, or other Members of our Household (Catholic or Non-Catholic) Additional Member #3Member #3: (Formal Name) Mr., Mrs., Dr., Sr., Sra.Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Member #3: Preferred Name Ex. Formal Name “Edward”, Preferred Name “Ed” or Formal Name “Elizabeth”, Preferred Name “Betty” Member #3: Maiden Name Relationship to Member #1(Required) Member #3: Age Range Adult (18+) Minor (Under 18) Member #3: Gender M F Member #3: Date of Birth Month Day Year Please Provide DOB for Each MemberMember #3: Cell Phone NumberAdult Contact Number if member is a minor. Member #3: Email Address Email Address for Individual or Small Group Communications from TransfigurationAdd Sacrament Information (Member #3) Yes Not at this time Member #3: Sacrament InformationDates of Sacraments for Members (If known) Member Marital Status Single Married Widowed Divorced Baptism Yes No Date of Baptism (if known) Location of Baptism Reconciliation Yes No Date of Reconciliation (if known) Location of Reconciliation First Eucharist Yes, First Eucharist No Date of First Eucharist (if known) Location of First Eucharist Confirmation Yes, Confirmed No Date of Confirmation (if known) Location of Confirmation Marriage Status Catholic Marriage Civil Marriage Date of Marriage Month Day Year Location of Marriage Date and Location of Civil Marriage Member #3: Emergency Contact InformationMember #3: Emergency Contact (Name) Member #3: Emergency Contact (Phone)Add Additional Members (#4) Yes No Add Spouse, Children, or other Members of our Household (Catholic or Non-Catholic) Additional Members (#4)Member # 4: (Formal Name) Mr., Mrs., Dr., Sr., Sra.Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Member #4: Preferred Name Ex. Formal Name “Edward”, Preferred Name “Ed” or Formal Name “Elizabeth”, Preferred Name “Betty” Member #4: Maiden Name Relationship to Member #1(Required) Member #4: Date of Birth Month Day Year Please Provide DOB for Each MemberMember #4: Gender M F Member #4: Age Range Adult (18+) Minor (Under 18) Member #4: Cell Phone NumberAdult Contact Number if member is a minor. Member #4: Email Address Email Address for Individual or Small Group Communications from TransfigurationAdd Sacrament Information (Member #4) Yes Not at this time Member #4: Sacrament InformationDates of Sacraments for Members (If known) Member Marital Status Single Married Widowed Divorced Baptism Yes No Date of Baptism (if known) Location of Baptism Reconciliation Yes No Date of Reconciliation (if known) Location of Reconciliation First Eucharist Yes, First Eucharist No Date of First Eucharist (if known) Location of First Eucharist Confirmation Yes, Confirmed No Date of Confirmation (if known) Location of Confirmation Marriage Status Catholic Marriage Civil Marriage Date of Marriage Month Day Year Location of Marriage Date and Location of Civil Marriage. Member #4: Emergency Contact InformationMember #4: Emergency Contact (Name) Member #5: Emergency Contact (Phone)Add Additional Members (#5) Yes No Add Spouse, Children, or other Members of our Household (Catholic or Non-Catholic) Additional Members (#5)Member # 5: (Formal Name) Mr., Mrs., Dr., Sr., Sra.Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Member #5: Preferred Name Ex. Formal Name “Edward”, Preferred Name “Ed” or Formal Name “Elizabeth”, Preferred Name “Betty” Member #5: Maiden Name Relationship to Member #1(Required) Member #5: Date of Birth Month Day Year Please Provide DOB for Each MemberMember #5: Gender M F Member #5: Age Range Adult (18+) Minor (Under 18) Member #5: Cell Phone NumberAdult Contact Number if member is a minor. Member #5: Email Address Email Address for Individual or Small Group Communications from TransfigurationAdd Sacrament Information (Member #5) Yes Not at this time Member #5: Sacrament InformationDates of Sacraments for Members (If known) Member Marital Status Single Married Widowed Divorced Baptism Yes No Date of Baptism (if known) Location of Baptism Reconciliation Yes No Date of Reconciliation (if known) Location of Reconciliation First Eucharist Yes, First Eucharist No Date of First Eucharist (if known) Location of First Eucharist Confirmation Yes, Confirmed No Date of Confirmation (if known) Location of Confirmation Marriage Status Catholic Marriage Civil Marriage Date of Marriage Month Day Year Location of Marriage Date and Location of Civil Marriage. Member #5: Emergency Contact InformationMember #5: Emergency Contact (Name) Member #4: Emergency Contact (Phone)Add Additional Members (#6) Yes No Add Spouse, Children, or other Members of our Household (Catholic or Non-Catholic) Relationship to Member #1(Required) Δ
