Register as a parishioner or Update your information

We are glad you have chosen to make St. Patrick Parish your faith home.

Registering in a parish is a declaration of your desire to be part of a Catholic community and to make a commitment to the life of the parish community.   To register at St. Patrick parish (or to update the information you’ve previously provided us) you may:
► download and complete a PDF document by clicking here,
► complete the following online document and click SUBMIT, or
► you may visit the parish office Mon-Thurs 9a-2:30p, or Fri 9a-Noon.

Registering also allows us to welcome you properly, learn about any special needs and interests, and keep you informed of our worship opportunities and activities.  To that end, you are invited to schedule an appointment with Fr. Trask, our pastor, so he can learn about you – and you about him and the parish; he may be reached at 440.987.9873.

* Reason for completing this form:

New Registration

Update my information

Preferred Salutation

Mr. & Mrs.; Ms.; Miss; Dr. & Mrs.; John & Judy; etc.

Last Name

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

* Home Phone

* Head of Household (HOH)

First

Last

* Family Status Single (residing alone) Single (residing with parents) Married with Minor Children Married without Minor Children Single Parent with minor children Divorced (residing alone) Divorced with minor children Living with "significant other" Widow(er) (residing alone) Widow(er) with minor children Widow(er) (residing with adult children) Other (Identify below)

Would you provide us with the name & number of a next-of-kin?

As you appear to be living alone, past experience has show it's helpful to have a person to contact - should you fall ill, or some other emergency arise.

Family Status Other (if "Other" from above)

* Date of Birth (HOH)

Religion (HOH)

* Occupation (HOH)

If student, list institution & anticipated graduation date

Employer (HOH)

Cell Phone (HOH)

Work Phone (HOH)

E-Mail Address (HOH)

Email

Confirm Email

Sacramental History (HOH)

* Baptized? (HOH)

Yes

No

* First Eucharist? (HOH)

Yes

No

* Confirmed? (HOH)

Yes

No

* Are you married?

Yes

No

First or Second Marriage

First Marriage

Second Marriage

Three-or-more Marriages

Marriage Date

Were you married by a priest?

Yes

No

Church or place of marriage

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

Please enter whatever info you have readily available

* Do you have children?

Yes

No

How many children do you have?

1

2

3

4

5

6

Spouse

Your spouse's information

Spouse's Name

First

Last

Date of Birth (Spouse)

Religion (Spouse)

Occupation (Spouse)

if student, list institution & anticipated graduation date

Work Phone (Spouse)

E-Mail (Spouse)

Email

Confirm Email

Cell Phone (Spouse)

Sacramental History

Baptized? (Spouse)

Yes

No

First Eucharist? (Spouse)

Yes

No

Confirmed? (Spouse)

Yes

No

Is this your ...

First Marriage

Second Marriage

Three-or-more Marriages

Maiden Name

First Child

Please fill in all information for each child

Adult children who reside at home (typically those older than 25, as well as those who are out of school and gainfully employed) must submit their own parish registration form.

First Child's Name

First

Last

Date of Birth (Child 1)

Gender assigned at birth (Child 1)

Male

Female

Baptized? (Child 1)

Yes

No

First Communion? (Child 1)

Yes

No

Confirmed? (Child 1)

Yes

No

Religious Education (Child 1)

PSR

Catholic School

None

Present School (Child 1)

Second Child

Please fill in all information for each child

Second Child's Name

First

Last

Date of Birth (Child 2)

Gender assigned at birth (Child 2)

Male

Female

Baptized? (Child 2)

Yes

No

First Communion? (Child 2)

Yes

No

Confirmed? (Child 2)

Yes

No

Religious Ed (Child 2)

PSR

Catholic School

None

Present School (Child 2)

Third Child

Please fill in all information for each child

Third Child's Name

First

Last

Date of Birth (Child 3)

Gender assigned at birth? (Child 3)

Male

Female

Baptized? (Child 3)

Yes

No

First Communion? (Child 3)

Yes

No

Confirmed? (Child 3)

Yes

No

Religious Education

PSR

Catholic School

None

Present School

Fourth Child

Please fill in all information for each child

Fourth Child's Name

First

Last

Date of Birth (Child 4)

Gender assigned at birth (Child 4)

Male

Female

Baptized? (Child 4)

Yes

No

First Communion? (Child 4)

Yes

No

Confirmed? (Child 4)

Yes

No

Religious Education (Child 4)

PSR

Catholic School

None

Present School (Child 4)

Fifth Child

Please fill in all information for each child

Fifth Child's Name

First

Last

Date of Birth (Child 5)

Gender assigned at birth (Child 5)

Male

Female

Baptized? (Child 5)

Yes

No

First Communion? (Child 5)

Yes

No

Confirmation? (Child 5)

Yes

No

Religious Education (Child 5)

PSR

Catholic School

None

Present School (Child 5)

Sixth Child

Please fill in all information for each child

Sixth Child's Name

First

Last

Date of Birth (Child 6)

Gender assigned at birth (Child 6)

Male

Female

Baptized? (Child 6)

Yes

No

Eucharist? (Child 6)

Yes

No

Confirmed? (Child 6)

Yes

No

Religious Education (Child 6)

PSR

Catholic School

None

Present school (Child 6)

Two final questions before you finish:

* May we identify you in the bulletin as a new parishioner?

Yes

No

Does anyone at this address require Sacramental services at home?

* Secure