Assumption-Mattese

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Welcome to Assumption Parish!
The maximum number of form submissions has been reached. This form is currently not available.
- We are so excited
  to welcome you
  into our
  Assumption Parish Family!
  
  Please note that to complete this registration, we need as many accurate dates of sacraments as you are able to provide. If you cannot remember a certain date, you may need to contact the church where that sacrament was bestowed. If you need our Parish Office Staff to help you in this matter, please let us know before filling out this form! Thank you for your cooperation with this very important aspect of our parish recordkeeping!
- Date of registration REQUIRED Please fill out this field. Please enter a date.
- May we include your family phone number in the Parish Directory? REQUIRED Yes No Please fill out this field.
- May we include your Email Address in the Parish Directory? REQUIRED Yes No Please fill out this field.
- Please list the name of a close relative or neighbor as an emergency contact: REQUIRED Please fill out this field. Please enter valid data.
- Please list the phone number of your emergency contact: REQUIRED Please fill out this field. Please enter valid data.
- Affiliation with emergency contact? REQUIRED Please fill out this field. Please enter valid data.
- Please list the information
  for the primary contact
  of your family first.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Gender? REQUIRED Male Female Please fill out this field.
- Maiden Name (if applicable) Please enter valid data.
- Title (Mrs. Mrs. Miss, Ms., Dr.) REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Phone Number, if applicable Maximum 20 characters Please enter a phone number.
- Street (& Apt. #) REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Employer REQUIRED Please fill out this field. Please enter valid data.
- Weekly Giving Preference REQUIRED Online Giving Envelopes Other Please fill out this field.
- If you just marked "Other", what is your preferred weekly giving preference? Please enter valid data.
- St. Louis Review REQUIRED Continue my subscription Discontinue my subscription New subscriber (please mail us a check for $35, made payable to Assumption Parish) Please fill out this field.
- What is your religion REQUIRED Please fill out this field.
- Sacraments
- Please check all Sacraments you have received in the Catholic Church. REQUIRED Baptism First Communion Confirmation Matrimony Please fill out this field.
- Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
- If married, is your marriage blessed by a Catholic priest/deacon? Yes No
- If married, please provide the date of your wedding. Please enter valid data.
- If you are married, please put "1" to fill out spouse information. If not, put 0. REQUIRED Please fill out this field.
  
  Spouse 1
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
- Please check all Sacraments your spouse has received in the Catholic Church. REQUIRED Baptism First Communion Confirmation Matrimony Please fill out this field.
- Do you have any dependent children REQUIRED Please fill out this field.
- Number of dependent children REQUIRED Please fill out this field.
  
  Child 1
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 2
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 3
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 4
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 5
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 6
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 7
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 8
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 9
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 10
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 11
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
  
  Child 12
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School Please enter valid data.
  
  Grade Level Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Please check all Sacraments your child has received in the Catholic Church. Baptism First Communion Confirmation
- Do you have any dependent adults living with you? If yes, put the number of how many below. If no, put 0. REQUIRED Please fill out this field.
  
  Dependent Adults 1
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 3
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 4
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 5
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 6
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 7
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 8
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 9
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 10
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 11
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 12
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
  
  Dependent Adults 2
  
  Gender Male Female
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status Single Married Separated Divorced Widowed
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? Yes No
  
  Please check all Sacraments this person has received in the Catholic Church. Baptism First Communion Confirmation
- Please complete the following questions:
- Is there anyone in your household who is interested in taking instructions about the Catholic faith to receive a sacrament? REQUIRED Yes No Please fill out this field.
- If yes, please provide their name. Please enter valid data.
- If yes, please check which sacrament(s). Baptism Reconciliation Eucharist Confirmation
- Is there anyone in your household who wishes to begin the process of annulment or, if not married in the church, have his/her marriage blessed (validated) by a priest/deacon? REQUIRED Yes No Please fill out this field.
- If yes, please provide their name. Please enter valid data.
- Is anyone in your household homebound and would like a visit by a priest/deacon/parishioner? Is anyone in your household in need of transportation to Sunday Mass? REQUIRED Yes, would like a visit by priest/deacon/parishioner Yes, needs transportation to church No Please fill out this field.
- If yes, please provide their name. Please enter valid data.
- Is anyone in your household interested in vocations? REQUIRED Yes No Please fill out this field.
- If yes, please provide the name of the person interested. Please enter valid data.
- Vocations interested in: Priest Permanent Diaconate Brother Sister
- Is any teen or adult in your household interested in participating in a retreat? REQUIRED Yes No Please fill out this field.
- If yes, please provide their name. Please enter valid data.
- Which weekend Mass at Assumption do you or your family usually attend? REQUIRED 5:00 p.m. Saturday 7:30 a.m. Sun. 9:00 a.m. Sun. 10:30 a.m. Sun. 12:00 p.m. Sun. 6:00 p.m. Sun. Please fill out this field.
- If applicable, will you have a child or children who will be attending Assumption AELC or Assumption School in the next 3-5 years? Yes No
- If yes, please provide the name(s)/age(s) of the child/children. Please enter valid data.
- Have you ever attended an ACTS retreat? REQUIRED Yes No Please fill out this field.
- THANK YOU!
  
  Thank you for taking the time to complete this registration. As changes occur in your family that affect the information you have provided on this form, please let us know at the parish office so that we may keep your records complete and up-to-date.
Submit

Online Registration

We are so excited to welcome you into our Assumption Parish Family!

Sacraments

We are so excited
to welcome you
into our
Assumption Parish Family!