• Registration Form for New Parishioners
  

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

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Marital Status REQUIRED (Select One) Single Married Widow / Widower Divorced Please fill out this field.
  • If married, please enter name of spouse below: Please enter valid data.
  • Church that I / We regularly attend: REQUIRED (Select One) St. Timothy, Campobello Island, N.B. Sacred Heart, Lubec St. Michael the Archangel, Cherryfield Holy Name, Machias Please fill out this field.
  • Address of residence: REQUIRED Please fill out this field. Please enter valid data.
  • Mailing address if different: Please enter valid data.
  • Number of children? Please enter an integer (number).
  • Number of children living at home? Please enter an integer (number).
  • Are all members of the household catholic? Yes No
  • Interested in helping our parish? Yes Not at this time... but later No
  • Home telephone number: Please enter valid data.
  • Cell phone number: Please enter valid data.
  • Would you like to receive Budget Envelopes? REQUIRED Yes No Please fill out this field.
  • my email address: Please enter valid data.

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