Registration Form to download and mail to the Parish office Download Online Fillable Form Date* MM slash DD slash YYYY Head of HouseholdName* First Last Nickname Cell #*Home Phone #Unlisted* Yes No Email*(for parish use only) Date of Birth* Sacraments Received*Please check if received Baptism First Communion Confirmation None of the above Retired?* Yes No Mass Attendance*RegularlyOccasionallySeldomMarital Status?* Married Single Widowed Divorced Date of Marriage* Input Spouse or Household Member Information?*Please note - You must include your spouse's information if you would like them included on the account. Yes No Spouse InformationName* First Last Nick Name Cell #*Home #Unlisted?* Yes No Email*(for parish use only) Date of Birth* Sacraments Received*Please check if received Baptism First Communion Confirmation None of the above Previous Occupation Retired?* Yes No Marital Status* Married Single Widowed Divorce General InformationFlorida Address* Street Address Address Line 2 City ZIP Code Village of Residence*Write "N/A" if you reside outside of The Villages. Please check* Full-time Resident Part-time Resident Updating Current Registration Months Usually Spent in Florida* Alternate Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Would you like to receive envelopes?* Yes No Online Giving If you would like to start giving offertory donations online please visit www.faithdirect.net and input our Parish code FL914 Language* English Bilingual Are their members of the household of a different religion?*This is for informational and inclusion purposes only. Yes No Please indicate which faith and which member of the household*Additional Household Members?* Yes No Additional Household MembersName* First Last Relationship* Birth Date* MM slash DD slash YYYY Sacraments Received*Please check if received Baptism First Communion Confirmation Additional Member* Yes No Additional Family Member 2Name* First Last Relationship* Birth Date* MM slash DD slash YYYY Sacraments Received*Please check if received Baptism First Communion Confirmation Additional InformationHow long have you been in this area?* How long have you been attending St. Vincent de Paul's Catholic Church?* Are there homebound members who are prevented from attending mass?* Yes No Please give us their name Would they like Communion brought to their home? Yes No Mass Time Preference*Saturday 4pmSaturday 6pmSunday 8amSunday 10amSunday 12 NoonSunday 2pm (in season)Additional InformationEmergency Contact Outside of HouseholdName* First Last Relationship* City* State* Emergency Contact Phone Number*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
