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Saint Charles Borromeo catholic church

Welcome to Saint Charles!

Thanks for taking a moment to register your household's information with Saint Charles Borromeo Parish.

REGISTRATION FORM

Member Information:

Envelope Number (if you have one)

Role (Head, Husband, Wife)

First Name

Marital Status

Single

Civil Marriage

Church

Free Union

Widow

Divorce

Gender (M/F)

Middle Name

Birthday

Language

Home Phone

Last Name

Place of Birth

Ethnicity

Cell Phone

Email

Children?

If yes. How many children do you have?

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

SACRAMENTS RECEIVED

Baptism

Confirmation

Reconciliation

Catholic Marriage

First Communion

Spouse's Information:

Role (Head, Husband, Wife)

Spouse's First Name

Spouse's Middle Name

Marital Status

Single

Civil Marriage

Church

Free Union

Widow

Divorce

Spouse's Place of Birth

Spouse's Birthday

Spouse's Last Name

Spouse's Ethnicity

Spouse's Gender (M/F)

Spouse's Cell Phone

Spouse's Email

SPOUSE'S SACRAMENTS

Baptism

Confirmation

Reconciliation

First Communion

Catholic Marriage

Children's Information:

Child #1

Child#1 First Name

Child#1 Gender (M/F)

Child#1 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #1 Last Name

Chilld#1 Birthday

Child#1 Language

Child#1 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #2

Child#2 First Name

Child#2 Gender (M/F)

Child#2 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #2 Last Name

Chilld#2 Birthday

Child#2 Language

Child#2 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #3

Child#3 First Name

Child#3 Gender (M/F)

Child#3 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #3Last Name

Chilld#3 Birthday

Child#3 Language

Child#3 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #4

Child#4 First Name

Child#4 Gender (M/F)

Child#4 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #4 Last Name

Chilld#4 Birthday

Child#4 Language

Child#4 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Additional Information/Notes:

if you pefer, you may print the form and uploaded or mail it to us.

UPLOAD REGISTRATION FORM

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Registration

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391 Ogden Street, Bridgeport, CT 06608 Telephone (203) 333-2147 E-mail: office@stcharlesbridgeport.org

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