Parish Registration Form

First Person Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Catholic?

Answer required for "Catholic?"

Yes

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Email Address*

Answer required for "Email Address"

Home Phone*

Number Required

Cell Phone

Number Required

Spouse Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Catholic?

Answer required for "Catholic?"

Yes

Spouse email

Answer required for "Spouse email"

Spouse Cell Phone

Number Required

Marital Status

Answer required for "Marital Status"

Single

Married

Divorced

Widowed

Date of Marriage

Answer required for "Date of Marriage"

Do you currently have children enrolled at St. Pius X School?

Answer required for "Do you currently have children enrolled at St. Pius X School?"

Yes

Sacramental status of all living in your household (begin with yourself)

Your Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Birthdate

Answer required for "Birthdate"

Sacraments received

Answer required for "Sacraments received"

Baptism

Eucharist

Confirmation

Marriage

Spouse Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Birthdate

Answer required for "Birthdate"

Sacraments Received

Answer required for "Sacraments Received"

Baptism

Eucharist

Confirmation

Marriage

1st Child Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Birthdate

Answer required for "Birthdate"

Sacraments Received

Answer required for "Sacraments Received"

Baptism

Eucharist

Confirmation

Marriage

2nd Child Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Birthdate

Answer required for "Birthdate"

Sacraments Received

Answer required for "Sacraments Received"

Baptism

Eucharist

Confirmation

Marriage

3rd Child Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Birthdate

Answer required for "Birthdate"

Sacraments Received

Answer required for "Sacraments Received"

Baptism

Eucharist

Confirmation

Marriage

Preferred method of tithing

Answer required for "Preferred method of tithing"

Online giving

Weekly envelopes

Would a visit from the Pastor be helpful to you at this time?

Answer required for "Would a visit from the Pastor be helpful to you at this time?"

Yes

Please check all the boxes of those groups which interest you or members of your household.

Schools

Answer required for "Schools"

St. Pius X School (PreK-8)

Bishop Kelley High School (Diocesan)

Pastoral Studies Institute - Diocese of Tulsa (Work on Bachelor's and Master's and Adult Enrichment

St. Pius X Church

Please fix the highlighted areas below before submitting.

Parish Registration Form