Welcome to St. Patrick's Church! 
We're thrilled that you're joining our parish family!

Register Now :)
 
St. Patrick's Parish Privacy Clause *

The information collected in this form will only be used for the following purposes:
1. Maintaining parish registration information
2. Providing parishioners who donate to the parish either via envelope or other methods with tax receipts. 
3. Ascertaining status of parishioners or their children for reception of sacraments in the Roman Catholic Church. 
This information will not be disclosed to any other organization without your prior consent. 
Having read the above I understand and agree to the usages of my personal information. I also understand that at any time I may withdraw consent but must give the parish written or verbal notice. 
I hereby understand that the information on this form as per the clause included above will be kept confidential and not disclosed to others without my prior consent.
     
 
Last Name (First Family Member) *

 
First Name (First Family Member) *

 
 
When were you born? *

First Family Member
 
Religion *

First Family Member
 
What is your occupation ? *

First Family Member
 
What is your home address ? *

Home Number & Street Name
 
What is your postal code ? *

 
What City do you live in ? *

 
Home Phone Number

  First Family Member
 
Work Phone Number

First Family Member
 
Mobile Phone Number

First Family Member
 
Last Name (Second Family Member)

(press ENTER if does not apply)
 
First Name  (Second Family Member)

(press ENTER if does not apply)
 
When were you born ?

Second Family Member
(press ENTER if does not apply)
 
Religion

Second Family Member
(press ENTER if does not apply)
 
What is your occupation?

Second Family Member
(press ENTER if does not apply)
 
Home Phone Number

Second Family Member 
(Press ENTER if same as First Family Member)
 
Work Phone Number

Second Family Member
(press ENTER if does not apply)
 
Mobile Phone Number

First Family Member
 
Marital Status *


 
Date of marriage

(press ENTER if not applicable)
 
Where did you get married?

Name of Church e.g. St. Patrick's Church
(press ENTER if not applicable)
 
I (we) usually attend Sunday Mass at: *


 
I (we) would like a set of Sunday Offering Envelopes *

*PAD ( Pre-Authorized Debit) is an alternative to the traditional Sunday Offering Envelope system. PAD allows you to support your parish through an automatic monthly withdrawal from your bank account. If you would like to sign up for PAD, select "C" from the options below and proceed to next question field.

 
Send me a PAD sign-up form to this email address

*Donating through PAD is simple! Just decide the monthly amount of your offering, fill out PAD sign-up form and submit it to the parish office along with a void cheque. You can modify or cancel your donation any time!
 
I would like to have a B.C. Catholic Newspaper sent to my home free of charge *

     
 
Information on Children under age 19

 
First & Last Name (1st child)

(press ENTER if does not apply)
 
When was your first child born?

(press ENTER if does not apply)
 
Which sacraments has your first child received?

(press ENTER if does not apply)

 
First & Last Name (2nd child)

(press ENTER if does not apply)
 
When was your second child born?

(press ENTER if does not apply)
 
Which sacraments has your second child received?

(press ENTER if does not apply)

 
First & Last Name (3rd child)

(press ENTER if does not apply)
 
When was your third child born?

(press ENTER if does not apply)
 
Which sacraments has your third child received?

(press ENTER if does not apply)

 
Please list name, date of birth & sacraments received of additional children in your family

(press ENTER if does not apply)
 
Thank you for registering at St. Patrick's Parish!
Do not hesistate to call with any questions; 
Our parish office number is 604-874-7818. 
Our website: stpatsvan.com


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