Family Registration Form

Welcome to our Church. Visit our web site at www.stjudechurchpeoria.org for more
 information.

Click Submit Form to send this information to St. Jude Roman Catholic Church.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity *Birth Date *Gender Female   Male
Grade/Degree *Occupation   Language *Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
*Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   First Comm
   Confirm
   Marriage

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Occupation   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   First Comm