Jesus the Good Shepherd

Catholic Church

Facebook Instagram YouTube Flocknote

Search

New Parishioner Form

- About

New Parishioner Census Card/Existing Member Changes
The maximum number of form submissions has been reached. This form is currently not available.
- Parishioner Status REQUIRED Please fill out this field.
- Head of Household REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Spouse's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Spouse's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Do you have any children?
- Children's Names and Dates of Birth REQUIRED Please fill out this field.
- If you have school age children, do they attend Catholic schools?
- Street 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.
- Marital Status yes no
- Religion if not Catholic: REQUIRED Please fill out this field. Please enter valid data.
- Other Email REQUIRED Please fill out this field. Please enter an email address.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.