Parish Registration Form

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Alternative: If you prefer, you may download pdf version of the registration form to bring to the parish office, or mail.

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Online Fillable Form

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Date*

MM slash DD slash YYYY

Head of Household

Salutation*

Mr.

Mrs.

Ms.

Name*

First Last

Preferred Name

Date of Birth*

Month

Day

Year

Cell Phone #*

Email (for parish use only)*

Florida Address*

Street Address Address Line 2 City State ZIP Code

Village of Residence*

Enter “N/A” if you reside outside The Villages.

Are you a full-time or seasonal resident?*

Full-time

Seasonal

Alternate Address (if you are a seasonal resident)*

Street Address Address Line 2 City State ZIP Code

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 (if applicable)*

MM

DD

YYYY

Were you married in the Catholic Church?*

Yes

No

If so, please provide the name, city and state of the church in which you were married.

Primary Language*

English

Spanish

Other

Would you like to include your spouse in your parish record?*

Yes

No

Spouse Information

Salutation*

Mr.

Mrs.

Ms.

Name*

First Last

Preferred Name

Date of Birth*

Month

Day

Year

Cell Phone #*

Email (for parish use only)*

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Primary Language*

English

Spanish

Other

Offertory Envelopes

Would you like to receive offertory envelopes?*

Yes

No

Online Giving

If you would prefer to give offertory online, please visit https://sumtercatholic.org/donate/parishsoft/

Emergency Contact Outside of Household

Name*

First Last

Relationship*

City*

State

Emergency Contact Phone Number*

Is there any additional Information you would like to share?

Additional Family Members Information

Are there additional members of your household to be included in your parish record?*

Yes

No

Please select the number of additional members to be added*

First Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Second Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Third Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Fourth Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Fifth Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

Sixth Additional Family Member

Salutation*

Mr.

Mrs.

Ms.

Child under 18 years old

Name*

First Last

Relationship to Head of Household*

Date of Birth*

MM

DD

YYYY

Religion*

Sacraments Received*

Baptism only

Baptism and First Communion

Baptism, First Communion and Confirmation

No Sacraments Received

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Mass Times

Saturday Vigil: 3:30 PM & 6:00 PM Sunday: 8:00 AM, 10:30 AM, 1:00 PM, 5:00 PM Monday - Saturday: 8:00 AM Confessions & Holy Days

Office Hours

Monday - Thursday: 8:30 AM - 3:00 PM Friday: 8:30 AM - 12:00 PM

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5323 E CR 462

Wildwood, FL 34785

352-330-0220 Email