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New Member Registration Form
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Primary (Home) Phone REQUIRED Please fill out this field. Please enter a phone number.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- Apt # 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.
- May St. Richard's Catholic Church publish your name in the bulletin (such as to welcome you to the parish)? REQUIRED Yes No Please fill out this field.
- May St. Richard's Catholic Church publish your address/phone number in the parish directory? REQUIRED
  The parish directory is published annually and distributed to members only. We do not share your information outside the parish.
  Yes No Name/Address Only - Phone Unlisted Please fill out this field.
- Primary Email Address REQUIRED Please fill out this field. Please enter an email address.
- Marital Status REQUIRED Single Married Widowed Divorced Seperated Re-Married Other Please fill out this field.
- If married, date Please enter a date.
- If married, was marriage in Catholic Church? Yes No Not Sure
- Whom should we contact in an emergency?
  Please include the name of the person we should contact for you in an emergency and that person's relationship to the family
  Please enter valid data.
- Emergency Contact's Phone Number Please enter a phone number.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name if different from Family Name Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation RCIA Holy Orders
  
  Talents/Skills Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone Please enter a phone number.
- Second Adult
  
  Relationship to the Head of Household
  If there are no additional adults, please scroll down to enter children or to press "Submit" when you are finished.
  
  First Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Last Name if different from Family Name Please enter valid data.
  
  Birth Date Please enter valid data.
  
  Gender Male Female
  
  Email Please enter an email address.
  
  Cell Phone Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation RCIA
  
  Talents/Skills Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone Please enter valid data.
- Children REQUIRED
  Please select the number of children in your household.
  Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
  
  Child 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname (optional) Please enter valid data.
  
  Last Name (if different from family name) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism Please enter a date.
  
  Church of Baptism
  Please include church name and city. If it was not a Catholic Church, please specify denomination
  Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  Please enter numerical value
  Please enter valid data.
  
  Other Information
- Other Information (optional)
  If you would like us to contact you to follow-up on any pastoral or other needs, please tell us here.
Submit
If you prefer to hand write a form, please click below and print:
- Print & Mail Registration Form
Becoming a Catholic
- RCIA
Faith Formation Registration

Online Stewardship Pledge

Welcome - we are so glad that you want to make St. Richard’s Catholic Church your parish home! Registration allows us to communicate with you about parish programs and record emergency contact information, as well as helping us to get an accurate view of who our parishioners are and how our resources should be allocated to best serve our community!

Fill out the New Member Registration Form on this page or talk to one of our hospitality ministers when you visit us on Sunday. On the first weekend of each month, we have volunteers from the Parishioner Resources ministry available to answer your question about becoming a full member of our parish family.