Download pdf version of the registration form to mail to the parish office. DOWNLOAD Online Fillable Form Parish Registration Form "*" indicates required fields Date* MM slash DD slash YYYY Head of HouseholdSalutation* Mr. Mrs. Ms. Name* First Last Nickname Cell Phone #*Home Phone #Email*(for parish use only) Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Marital Status* Married Single Widowed Divorced Separated Date of Marriage*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Primary Language* English Spanish Other Retired?* Yes No Would you like to include your spouse on your account?* Yes No Spouse InformationSalutation* Mr. Mrs. Ms. Name* First Last Nickname Cell Phone #*Home Phone #Email*(for parish use only) Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Primary Language* English Spanish Other Retired?* Yes No Additional Family Members InformationAre there additional members to be added to your household?* Yes No Please select the number of additional members to be added*123456First Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Second Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Third Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Fourth Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Fifth Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Sixth Additional Family MemberSalutation* Mr. Mrs. Ms. Child under 18 years old Name* First Last Relationship to Head of Household* Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Religion*CatholicProtestantJewishOtherName of Religion* Sacraments Received* Baptism only Baptism and First Communion Baptism, First Communion and Confirmation No Sacraments Received Address InformationFlorida Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Village of Residence*Enter “N/A” if you reside outside of The Villages. Residency* Full Year Resident (12 months) Partial Year Resident (Seasonal) Updating Current Registration Alternate Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Months Usually Spent in Florida*Ex. November thru March Offertory EnvelopesWould you like to receive offertory envelopes?* Yes No Online Giving If you would like to give offertory donations online, please visit www.faithdirect.net and input our Parish code FL914 Additional InformationHow long have you been in this area?*Please enter the number of months or years. How long have you been attending St. Vincent de Paul Catholic Church?*Please enter the number of months or years. Mass Time Preference*Saturday 4pmSaturday 6pmSunday 8amSunday 10amSunday 12 NoonSunday 2pm (in season)Are there homebound members unable to attend Mass?* Yes No Please give us their name(s) Would they like to have Communion brought to them? Yes No Emergency Contact Outside of HouseholdName* First Last Relationship* City* StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingEmergency Contact Phone Number*Is there any additional Information you would like to share?CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
