Parish Registration Form Step 1 of 5 20% Family InformationFamily Last Name* Address* City* State* ZIP* Home Phone*Family Email* Individual Member Information #1Role (Head of House, Husband, Wife etc.)* First Name* Nickname (if any) Maiden Name (if applicable) Male / Female*MaleFemaleDate of Birth (mm/dd/yyyy)* MM slash DD slash YYYY Email* Work PhoneCell Phone*Occupation* Religion* Marital Status*SingleMarriedSeparatedDivorcedWidowed Individual Member Information #2Is there a second Head of Household?NoYesHead of Household #2 - InformatonRole (Head of House, Husband, Wife etc.)* First Name* Nickname (if any) Maiden Name (if applicable) Male / Female*MaleFemaleDate of Birth (mm/dd/yyyy)* MM slash DD slash YYYY Email* Work PhoneCell Phone*Occupation* Religion* Marital Status*SingleMarriedSeparatedDivorcedWidowed HiddenDependent Children Information under the age of 25 years of age (Please list oldest to youngest)HiddenName First Last HiddenMale / FemaleMaleFemaleHiddenDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY Hidden2nd ChildHiddenName First Last HiddenMale / FemaleMaleFemaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY Hidden3rd ChildHiddenName First Last HiddenMale / FemaleMaleFemaleHiddenDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY Hidden4th ChildHiddenName First Last HiddenMale / FemaleFemaleMaleHiddenDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY Dependent Children Information under the age of 25 years of age (Please list oldest to youngest)Are there any children below the age of 25 - if so how many?No childrenOne childTwo childrenThree childrenFour childrenFive childrenSix childrenOne ChildName First Last Male / FemaleMaleFemaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY 2nd ChildName First Last Male / FemaleMaleFemaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY 3rd childName First Last Male / FemaleMaleFemaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY 4th childName First Last Male / FemaleFemaleMaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY 5th childName First Last Male / FemaleFemaleMaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY 6th childName First Last Male / FemaleFemaleMaleDate of Birth (mm/dd/yyyy) MM slash DD slash YYYY I/we would like to be involved in the following Ministries (please check one or more of Ministries below): Assumption Seniors – helping to serve our senior parishioners who gather for Mass and a delicious luncheon four times a year. Adult Choir – provides sacred music every Sunday morning at 10:30 mass from Sept. to June. Adult Servers for Funerals - assists the priest at funerals masses. Altar/Sacristy Care - This ministry serves the parish by caring for the altar and sacristy areas. Altar Servers – Boys and girls in grades 4 thru 12 are trained as altar servers for liturgies. Children Proclaim the Word – Help schedule and prepare children to read at Sunday 9:00am Liturgy High School (Gr.9-12) & Middle School (Gr.6-8) Youth Ministry – explores the Word, has fun, shares friendship and provides service. Adoration & Rosary – First Saturday of the month 8:00am – 8:30am (following the 7:30am mass) and every Saturday during May and October. Book Club – All are invited and welcome to enjoy reading and discussion of various books. It is an informal, informative and friendly gathering. Eucharistic Ministers – help distribute the body & blood of Christ at mass. Silent Adoration - on Mondays & Wednesdays 8:00am – 5:00pm Family Life Committee – facilitates activities/events to foster and enhance spiritual, educational, & social life of our families. Food Closet – assist the Director with organizing and distributing non-perishable foods. The parish provides for local families who are hungry and in need. Helping Hands Ministry - helps when needed for any parish event. Knights of Columbus Council 3688 - meets the second Tuesday of the month. Readers – Adult and children who proclaim the Word at all masses. Liturgical Decorating Committee - assists in decorating the church for special occasions. Bereavement - All are welcome to join us Wednesdays, 3:30pm to 5:00pm in Roncalli Building Mary’s Mantle Ministry – Those who knit and/or crochet or want to learn gather to make items for many different needs. Parish Prayer Network - Praying via phone message and internet on a daily basis. Religious Education Catechists – to teach on Sunday or Tuesday Pre-K4 thru Grade 8. Rite of Christian Initiation of Adults (RCIA) – Help prepare adults on their faith journey as they seek membership in our church. St. Matthew Club – Provides five teams of three parishioners to count and record mass offertory collections. Sunday 11:00am. Social Concerns – Meets the third Monday of the month. Facilitates the parish in works of charity in accordance with the Gospel through awareness and action. Youth Ministry – Grades 9 thru 12. Help Youth Minister evangelize our high school youth. Ushers - assist with offertory collections, security and at weekend Masses. Westport Health Care - Every Wednesday morning parishioners visit the Catholic residents at the Health Care Center leading the Rosary, a communion service, and bring communion to their rooms. PhoneThis field is for validation purposes and should be left unchanged.
