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Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Register

Begin Census Here:

I am a new Parishioner

I am a current Parishioner updating my information

I grew up in the parish and am registering separately from my parents.

I would like to cancel my membership.

If you are cancelling your membership, please specify why.

ADDING SPACE

Family Last Name:

Home Address:

City

State

Zip

Family Email

Home Phone

HEAD OF HOUSEHOLD- LABEL

Head of Household- Individual Information

Head of Household First Name

Date of Birth

Gender

Maiden Name (If Applicable)

Individual Email

Cell Phone

Occupation and Employer

Sacraments Received

Baptism

Reconcilliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

Are you Catholic?

Yes

No

If not Catholic, in what religion were you baptized?

Confirmation Date

City, State, and Church Name of Confirmation

Marital Status

Wedding Date

City, State and Church Name of Wedding

SPOUSE OR OTHER ADULT

Spouse or Other Adult- Individual Information

Spouse or Other Adult Name

Marital Status

Relationship to Head of Household

Date of Birth

Gender

Maiden Name (If Applicable)

Individual Email

Cell Phone

Occupation and Employer

Sacraments Received

Baptism

Reconcilliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

Are you Catholic?

Yes

No

If not Catholic, in what religion were you Baptized?

Confirmation Date

Place of Confirmation

CHILD 1- LABEL

Child 1- Individual Information

Child 1 Name

Date of Birth

Gender

School

Grade

Sacraments Received

Baptism

Reconcilliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

CHILD 2- LABEL

Child 2- Individual Information

Child 2 Name

Date of Birth

Gender

School

Grade

Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

CHILD 3- LABEL

Child 3- Individual Information

Child 3 Name

Date of Birth

Gender

School

Grade

Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

CHILD 4- LABEL

Child 4- Individual Information

Child 4 Name

Date of Birth

Gender

School

Grade

Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

CHILD 5- LABEL

Child 5- Individual Information

Child 5 Name

Date of Birth

Gender

School

Grade

Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Date of Baptism

Place of Baptism

ADDITIONAL CHILDREN- LABEL

Additional Children- Individual Information

List Additional Children with Date of Birth, Gender, School, Grade, Sacraments received, Date and Place of Baptism (Including City, State, and Church Name.)

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ADDRESS

453 E State St, Jacksonville, IL 62650, United States of America

PHONE

(217) 245-6184

Office Hours
Monday thru Friday

8:00 am to 4:00 pm

EMAIL

office@ospchurch.com

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