Family Registration Form

WELCOME!

Thank you for registering with Saint John Vianney Parish, Gladwyne, Pa! We are happy to welcome you as a part of our parish family! At Saint John Vianney, we profess our faith in Jesus Christ as well as the Holy Catholic Church, and we strive to see Jesus in those we serve. We are grateful that you are with us!

After completing this form, you will be officially registered with the parish. In a few weeks, you will start receiving contribution envelopes in the mail. We also offer an easy and convenient online giving option which you can sign up for at sjvgladwyne.com. Additionally, we offer a text-to-give option. Text 610-222-5335 to get started. Thank you for supporting our mission of evangelization, education, and service to our community!

Please note that there is a $45 stipend which will be processed online at the end of the form.

If you have any questions, please contact the Parish offices at parishoffices@sjvgladwyne.com or 610-642-0938.

Primary Family Address

Family Name

Envelope Number

Family Attends Mass

Address

Primary E-mail

Primary Phone

Preferred Mailing Name

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Head of Household

Name

Date of Birth

Education / Degree

Occupation / Profession

Full time or Part time?

E-mail

Cell Phone

Religion

Ethnicity

Sacraments

Languages spoken

Disability/Special Needs

Spouse

Name

Maiden Name

Date of Birth

Education / Degree

Occupation / Profession

Full time or Part time?

E-mail

Cell Phone

Religion

Ethnicity

Sacraments

Languages spoken

Disability/Special Needs

Marital Status

Were you sacramentally married in the Catholic Church?

Yes No N/A

Marriage Date

If not sacramentally married please indicate:

Non-Catholic Ceremony Civil Ceremony

Church name & City/State

Location & City/State

May we provide information on

Sacramental Marriage Annulment

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Children

Number of Children

Child 1

Name

Gender

Male Female

Date of Birth

School / Grade / Degree

Religion

Ethnicity

Living at home?

Yes No

Languages Spoken

Sacraments

Disability/Special Needs

Child 2

Name

Gender

Male Female

Date of Birth

School / Grade / Degree

Religion

Ethnicity

Living at home?

Yes No

Languages Spoken

Sacraments

Disability/Special Needs

Child 3

Name

Gender

Male Female

Date of Birth

School / Grade / Degree

Religion

Ethnicity

Living at home?

Yes No

Languages Spoken

Sacraments

Disability/Special Needs

Child 4

Name

Gender

Male Female

Date of Birth

School / Grade / Degree

Religion

Ethnicity

Living at home?

Yes No

Languages Spoken

Sacraments

Disability/Special Needs

Would you like to add an additional family member?

Yes No

Other Family Member

Relationship

Name

Gender

Male Female

Date of Birth

School / Grade / Degree

Religion

Ethnicity

Living at home?

Yes No

Languages Spoken

Sacraments

Disability/Special Needs

Page Break

Additional Questions

May we provide information regarding Baptism, Reconciliation, Holy Eucharist, and Confirmation for those in the family who have not yet received these sacraments?

Yes No Not now

Would you prefer to participate in On-Line Giving either weekly or monthly?

Weekly Monthly

Do you know how you might like to volunteer at our Parish?

Ministries Family Members may be interested in:

Caring for Friends; Catechists; RCIA Team; Pastoral Care Team; Extraordinary Ministers of Holy Communion; Lectors; Ushers; Altar Servers; Cantors; Choir; Altar Guild

Parish Groups Family Members may be interested in:

Adult Bible Study; Rosary Prayer Group; SJV Stitchers

Skills and Talents family members may be able to offer to the parish:

What brings you to Our Parish at this time?

Additional Information:

Total Amount

REGISTRATION STIPEND

Verification