Parish Registration

Please take a few moments to fill out our parish registration form. Please fill out as much as the form as possible. After filling in the Family Name, please fill out information for each member of the family. If you have any questions, please call the parish office at 740-335-5000. Thank you for your time and welcome to St. Colman Parish!

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

Street Address REQUIRED Please fill out this field. Please enter valid data.

Mailing Address if different than Street 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.

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

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number Please enter valid data.

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

Do you want offertory envelopes ordered for you? REQUIRED Yes No Will give through Online Giving Please fill out this field.

Head of Household

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

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

Preferred Name Please enter valid data.

Maiden Name Please enter valid data.

Gender REQUIRED Please fill out this field.

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Your Phone Number REQUIRED Please fill out this field. Please enter valid data.

Your Email Please enter valid data.

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

Birthplace Please enter valid data.

1st Language/2nd Language Please enter valid data.

Highest Level of Education Please enter valid data.

School Name Please enter valid data.

Occupation Please enter valid data.

Employer Name Please enter valid data.

Work Phone Please enter valid data.

Special Needs Please enter valid data.

Catholic REQUIRED Yes No Please fill out this field.

Name of Previous Parish REQUIRED Please fill out this field. Please enter valid data.

Date & place of Baptism REQUIRED Please fill out this field. Please enter valid data.

Date & Place of First Holy Communion REQUIRED Please fill out this field. Please enter valid data.

Date & Place of Confirmation REQUIRED Please fill out this field. Please enter valid data.

If Married, please fill out the following information concerning the marriage.

Married by a Priest or Deacon Yes No

Marriage Date Please enter valid data.

Place of Marriage / Church Please enter valid data.

Celebrant Name Please enter valid data.

Any previous divorces for either spouse? Yes No

Individual Family Member in Household

First Name Please enter valid data.

Last Name Please enter valid data.

Preferred Name Please enter valid data.

Maiden Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Phone Number Please enter valid data.

Email Please enter valid data.

Date of Birth Please enter valid data.

Birthplace Please enter valid data.

1st Language/2nd Language Please enter valid data.

Highest Level of Education Please enter valid data.

School Name Please enter valid data.

Occupation Please enter valid data.

Employer Name Please enter valid data.

Work Phone Please enter valid data.

Special Needs Please enter valid data.

Catholic Yes No

Name of Previous Parish Please enter valid data.

Date & place of Baptism Please enter valid data.

Date & Place of First Holy Communion Please enter valid data.

Date & Place of Confirmation Please enter valid data.

Additional Family Members in Household

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Son, Daughter, Parent, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Gender

Role (Husband, Wife, Son, Daughter, etc. Please enter valid data.

Date of Birth Please enter valid data.

What Sacraments have they received? Please enter valid data.

St. Colman of Cloyne

Washington Court House, OH

Parish Registration

Online Registration. Please complete all fields.