Join Epiphany Parish

HOUSEHOLD CONTACT INFORMATION

Home Address 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.

Best Phone Number to Reach Your Family REQUIRED Please fill out this field. Please enter a phone number.

This is a REQUIRED Please fill out this field.

If transferring from another parish, which one? Please enter valid data.

Preferred Language Please enter valid data.

What is your preferred method for offertory donations? REQUIRED Please fill out this field.

Please use THIS LINK to set-up On-line Giving. If you have questions, please call the office and talk to Monica or Margaret. Thank you!

Do you wish to receive the Catholic Herald newspaper? REQUIRED Please fill out this field.

ADULT MEMBER #1

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Current Religion REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received (Check all that apply) REQUIRED Baptism First Communion Confirmation Have not received any of the Sacraments listed above Please fill out this field.

Marital Status REQUIRED Please fill out this field.

Date of Marriage (n/a if it doesn't apply) REQUIRED Please fill out this field. Please enter valid data.

If you were not married in the Church, would you consider discussing options with a Priest or Pastoral Staff member?

Occupation Please enter valid data.

ADULT MEMBER #2 (Skip this section if it does not apply)

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Date of Birth Please enter valid data.

Email Please enter an email address.

Current Religion Please enter valid data.

Sacraments Received (Check all that apply) Baptism First Communion Confirmation Have not received any of the Sacraments listed above

Occupation Please enter valid data.

If someone listed above is not presently Catholic, does he/she have any interest in becoming Catholic and would they welcome a call by a priest or parish staff person to discuss?

DEPENDENT CHILDREN (Skip this section if it does not apply)

If a child listed has not been baptized, would you welcome a call by a staff member to discuss?

What ministries interest you and how would you like to become involved in our parish community?

What are some of your interests and somethings you enjoy doing?

We publish names of our new parish members in our bulletin to Welcome you! We may also use your name in other ways throughout the year: in our bulletin and other publications. If you specifically don’t want your name OR picture to appear in any of these, please e-mail your request to our Administrative Assistant at office@epiphanyparishwi.org.