Parish Enrollment Home / Parish Enrollment Parish Enrollment URLThis field is for validation purposes and should be left unchanged.If you would like to join our parish or update your information in our system, please fill out the following online form.Parishioner Status(Required)I'm new to JGS Parish.I'm an existing parishioner, but I am updating my information.I'm an existing member, but listed as a child under my parents. I am now an Adult.Family Last Name(Required)Are you registered at another church?(Required) Yes No Name of church(Required)Primary ResidenceAddress(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 Head of HouseholdTitle(Required)Mr.Mrs.Ms.Dr.Rev.Name(Required) First Middle Last Maiden (If Applicable) Last Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone Number(Required)Email(Required) Religious Denomination(Required)CatholicChristian/Non-CatholicOtherNoneSacraments Received(Required) Baptism Communion Confirmation None Sacraments Received(Required) Baptism None Approximate Year of Baptism(Required)Please enter a number from 1900 to 2100.Example: 1999Approximate Year of First Communion(Required)Please enter a number from 1900 to 2100.Example: 1999Approximate Year of Confirmation(Required)Please enter a number from 1900 to 2100.Example: 1999Convert?(Required) Yes No Are you interested in becoming Catholic? Yes No Marital Status(Required)SingleMarriedSeparatedDivorcedWidow/WidowerDate Married(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Were you married in the Catholic Church?(Required) Yes No In what parish?(Required)SpouseTitle(Required)Mr.Mrs.Ms.Dr.Rev.Name(Required) First Middle Last Maiden (If Applicable) Last Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone(Required)Email(Required) Religious Denomination(Required)CatholicChristian/Non-CatholicNoneOtherSacraments Received(Required) Baptism Communion Confirmation None Sacraments Received(Required) Baptism None Approximate Year of Baptism(Required)Please enter a number from 1900 to 2100.Ex: 1999Approximate Year of First Communion(Required)Please enter a number from 1900 to 2100.Ex: 1999Approximate Year of Confirmation(Required)Please enter a number from 1900 to 2100.Ex: 1999Convert?(Required) Yes No Are they interested in becoming Catholic? Yes No Number of Children at HomeEnter as a whole number (1, 2, 3, etc.)First ChildName of First Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Second ChildName of Second Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Third ChildName of Third Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Fourth ChildName of Fourth Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Fifth ChildName of Fifth Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Sixth ChildName of Sixth Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Seventh ChildName of Seventh Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Eighth ChildName of Eighth Child First Middle Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments Received Baptism Communion Confirmation None Approximate Year of BaptismPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of First CommunionPlease enter a number from 1900 to 2100.Ex: 1999Approximate Year of ConfirmationPlease enter a number from 1900 to 2100.Ex: 1999Is anyone homebound? Yes No Name of Homebound; Do they wish to receive Holy Communion?Please list if anyone in your household serves on a Parish Committee or Ministry:I have a particular talent, hobby, or professional service I would like to offer:I/we will support the Parish with a monetary gift, either: Automatic online weekly or monthly deduction Weekly, using envelopes returned at Weekend Mass If you would like to sign up for automatic online giving, visit our ‘Give’ tab on the home page.Do you wish to receive donation envelopes?(Required) Yes No
