Current Parishioner Re-registration

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

Street 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.

Mailing Address, if different Please enter valid data.

Preferred Household Phone REQUIRED Please fill out this field. Please enter valid data.

Preferred Household Email Please enter valid data.

Languate Spoken in the Home REQUIRED Please fill out this field. Please enter valid data.

Head of Household or Single Person REQUIRED

First Name, Middle Initial, Informal Name, Last Name (if different from Family Name)

Please fill out this field. Please enter valid data.

Informal Name (Nickname) Please enter valid data.

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

Email Please enter an email address.

Mobile Phone Number Please enter a phone number.

Occupation Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Life Status REQUIRED Single Married Divorced Widowed Please fill out this field.

Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.

Check the Sacraments Received Baptism Eucharist Confirmation

Role in Household REQUIRED Wife Husband Self Child Stepparent Single Parent Grandparent Please fill out this field.

Spouse (if applicable)

First Name, Middle Initial, Informal Name, Last Name (if different from Family Name)

Please enter valid data.

Informal Name (Nickname) Please enter valid data.

Date of Birth Please enter valid data.

Email Please enter an email address.

Mobile Phone Number Please enter a phone number.

Occupation Please enter valid data.

Gender Male Female

Life Status Single Married Divorced Widowed

Religion Catholic Protestant Jewish Other

Check the Sacraments Received Baptism Eucharist Confirmation None

Role in Household Wife Husband Self Child Stepparent Single Parent Grandparent

Number of Additional Family Members REQUIRED Please fill out this field.
Family 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.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 9
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.
Family Member 10
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Mobile Phone Number Please enter a phone number.
- Email Please enter an email address.
- Occupation - if applies Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Life Status REQUIRED single Married Divorced Widow Please fill out this field.
- Religion REQUIRED Catholic Protestant Jewish Other Please fill out this field.
- Check Sacraments Received REQUIRED Baptism Eucharist Confirmation None Please fill out this field.
- Role in Household REQUIRED Please fill out this field.

St. Vincent Martyr

26 GREEN VILLAGE ROAD
Madison, NJ 07940

973-377-4000

Gifted • Grateful • Giving

Current Parishioner Re-registration