Forms

Which site do you wish to register with? REQUIRED St. Wenceslaus Church, New Prague St. John the Evangelist Church, Union Hill St. Scholastica Church, Heidelberg Please fill out this field.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

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.

Home Phone REQUIRED Please fill out this field. Please enter valid data.

Email Please enter an email address.

May we include your information in future parish directories? REQUIRED Yes No Please fill out this field.

May the parish office release your phone number to other parishioners related to church matters? REQUIRED Yes No Please fill out this field.

May the parish office release your email address to other parishioners related to church matters? REQUIRED Yes No Please fill out this field.

Head of Household

*Should a couple be of mixed church denominations, consider the Catholic to be Head of Household regardless of gender for registration purposes.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Maiden Name Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Personal Email Please enter an email address.
Date of Birth REQUIRED Please fill out this field. Please enter valid data.
Occupation Please enter valid data.
Religion Please enter valid data.
Marital Status
Date of Marriage Please enter a date.
Church of Marriage Please enter valid data.
City & State of Marriage Please enter valid data.
Sacraments Received
Check all that apply
Baptism First Communion Confirmation
Church of Baptism Please enter valid data.
City & State of Baptism Please enter valid data.

Spouse [if any]

First Name Please enter valid data.

Last Name Please enter valid data.
Middle Name Please enter valid data.
Maiden Name Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
Personal Email Please enter an email address.
Date of Birth Please enter a date.
Occupation Please enter valid data.
Religion Please enter valid data.
Marital Status
Sacraments Received
Check all that apply
Baptism First Communion Confirmation
Church of Baptism Please enter valid data.
City & State of Baptism Please enter valid data.

Number of Children/Other Members Living in Household REQUIRED
NOTE: Adults living in your home over age 21 should register independently.
Please fill out this field.
Child/Other Member 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 5
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 6
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 7
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 8
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 9
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 10
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.
Child/Other Member 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Middle Name Please enter valid data.
- Date of Birth Please enter a date.
- Relationship to Head of Household REQUIRED Please fill out this field.
- Grade
- Religion Please enter valid data.
- Sacraments Received Baptism First Communion Confirmation
- Church of Baptism Please enter valid data.
- City & State of Baptism Please enter valid data.

What form of Sunday Offering do you prefer? REQUIRED Envelopes Automatic Account Withdrawal Credit Card Please fill out this field.

If you are currently not receiving the bi-monthly Catholic Spirit sent by the Archdiocese of St. Paul/Minneapolis, would you like a free subscription? Yes No

Would you like information on Little Spirits Preschool? Yes No

Would you like information on St. Wenceslaus Catholic School? Yes No

Would you like information on our Faith Formation Program for children/youth? Yes No

Comments:

St. Wenceslaus

St. John | St. Scholastica

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New Prague Area Catholic Community registration