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Please fill out the following to register with St. Peter's Parish.
Family (Last) Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mailing Address
REQUIRED
Please fill out this field.
Please enter valid data.
Address (if different than mailing address)
Please enter valid data.
Home Phone
REQUIRED
Please fill out this field.
Please enter a phone number.
My home phone is:
listed
unlisted
Email (Head of Household)
REQUIRED
Please fill out this field.
Please enter an email address.
Community (Royal Pines, The Preserve, Newport, etc.)
Please enter valid data.
Complete for Each Family Member then Proceed Down to the Second Portion of the Registration.
1. Head of Household
Title Mr/Mrs/Ms/Dr/etc.
REQUIRED
Please fill out this field.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name - If no middle name, type in none
REQUIRED
Please fill out this field.
Please enter valid data.
Preferred Name/Nickname
Please enter valid data.
Last Name if not same as Family (Last Name)
Please enter valid data.
Occupation/Grade if child
REQUIRED
Please fill out this field.
Please enter valid data.
Work Phone
Please enter valid data.
Cell Phone
Please enter valid data.
Gender
REQUIRED
Male
Female
Please fill out this field.
Birthday (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter valid data.
Marital Status
REQUIRED
Married
Single
Divorced
Widowed
Separated
Cohabitation
Please fill out this field.
Year & Parish of Baptism if Catholic (If not Catholic, list religion or none)
REQUIRED
Please fill out this field.
Please enter valid data.
Check off Sacraments received in the Catholic Church
1st Communion
Confirmation
Marriage
2 - Spouse/Significant Other
Title Mr/Mrs/Ms/Dr/etc.
Please enter valid data.
Preferred Name/Nickname
Please enter valid data.
Last Name if not same as Family or Maiden Name
Please enter valid data.
Occupation/Grade if child
Please enter valid data.
Work Phone
Please enter valid data.
Cell Phone
Please enter valid data.
Gender
Male
Female
Birthday (mm/dd/yyyy)
Please enter valid data.
Marital Status
Married
Single
Divorced
Widowed
Separated
Year & Parish of Baptism if Catholic (Religion if not Catholic)
Please enter valid data.
Check off Sacraments received in the Catholic Church
1st Communion
Confirmation
Marriage
Family Member 3
Title Mr/Mrs/Ms/Dr/etc.
Please enter valid data.
Preferred Name/Nickname
Please enter valid data.
Last Name if not same as Family
Please enter valid data.
Occupation/Grade if child
Please enter valid data.
Work Phone
Please enter valid data.
Cell Phone
Please enter valid data.
Gender
Male
Female
Birthday (mm/dd/yyyy)
Please enter valid data.
Year & Parish of Baptism if Catholic (Religion if not Catholic)
Please enter valid data.
Check off Sacraments received in the Catholic Church
1st Communion
Confirmation
Marriage
Family Member 4
Title Mr/Mrs/Ms/Dr/etc.
Please enter valid data.
Preferred Name/Nickname
Please enter valid data.
Last Name if not same as Family or Maiden Name
Please enter valid data.
Occupation/Grade if child
Please enter valid data.
Work Phone
Please enter valid data.
Cell Phone
Please enter valid data.
Gender
Male
Female
Birthday (mm/dd/yyyy)
Please enter valid data.
Year & Parish of Baptism if Catholic (Religion if not Catholic)
Please enter valid data.
Check off Sacraments received in the Catholic Church
1st Communion
Confirmation
Marriage
Family Member 5
Title Mr/Mrs/Ms/Dr/etc.
Please enter valid data.
Preferred Name/Nickname
Please enter valid data.
Last Name if not same as Family or Maiden Name
Please enter valid data.
Occupation/Grade if child
Please enter valid data.
Work Phone
Please enter valid data.
Cell Phone
Please enter valid data.
Gender
Male
Female
Birthday (mm/dd/yyyy)
Please enter valid data.
Year & Parish of Baptism if Catholic (Religion if not Catholic)
Please enter valid data.
Please answer the following questions to the best of your ability.
Check off Sacraments received in the Catholic Church
1st Communion
Confirmation
Marriage
Section Two: Please Answer Each of the Following
If married, were you married by a Catholic priest or deacon or with dispensation by the Catholic Church?
REQUIRED
Yes
No
Please fill out this field.
If not, may we contact you to assist with having your marriage convalidated within the jurisdiction of the Catholic Church?
Yes
No
How will you be financially supporting your parish church?
REQUIRED
envelopes
Online Giving (we prayerfully recommend a 5% tithe of your income)
Please fill out this field.
Do you wish to receive the weekly diocesan newspaper, The Miscellany
Yes
No
If you are coming here from another parish, please notify that parish of your transfer so they may amend their records.
Are you a part-time resident?
Yes
No
If so, what months are you here in Beaufort? (From____ to _______)
Please enter valid data.
Alternate Address:
Please enter valid data.
Alternate Phone: (xxx) xxx-xxxx
Please enter valid data.
If you have elementary age children, may we contact you about St. Peter's Catholic School?
yes
Comments
Please list all NON-CATHOLIC persons in your household who regularly attend Mass with you and their Religion:
