Parish Registration

Beloved Disciple Parish

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Parish Registration

Parish Registration

Download BD Registration Form

Download StM Registration Form

The registration form may be downloaded using one of the buttons above or submitted by filling out the form below.

Parish Registration Form

We're so happy that you've chosen to join our faith family!

Church Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Please Select Your Primary Parish

Beloved Disciple

St. Michael the Archangel

Date

Envelope Number

Family Surname

Street Address

City

State

Zip

Do you live in the area year round or seasonally?

Year Round

Seasonally

Main Phone Number

Cell or Land Line

First Head of House

---------------First Head of House---------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Phone

Nickname

Middle Name

Last Name

Date of Birth

Work Phone

Maiden Name if applicable

Church of Baptism

Marital Status

Single

Married

Separated

Divorced

Widowed

Receive Parish Emails?

Yes

No

Sacraments Completed

Baptism

1st Communion

Confirmation

City

State

Second Head of House

---------------Second Head of House------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Phone

Nickname

Middle Name

Last Name

Date of Birth

Work Phone

Maiden Name if applicable

Marital Status

Single

Married

Separated

Divorced

Widowed

Receive Parish Emails?

Yes

No

Sacraments Completed

Baptism

First Communion

Confirmation

Church of Baptism

City

State

Additional Notes I'd Like to Add

Third Family Member

---------------Third Family Member--------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Phone

Nickname

Middle Name

Last Name

Date of Birth

Sacraments Completed

Baptism

1st Communion

Confirmation

Church of Baptism

City

State

Fourth Family Member

---------------Fourth Family Member-------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Phone

Nickname

Middle Name

Last Name

Date of Birth

Sacraments Completed

Baptism

1st Communion

Confirmation

Church of Baptism

City

State

Fifth Family Member

---------------Fifth Family Member--------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Number

Nickname

Middle Name

Last Name

Date of Birth

Sacraments Completed

Baptism

1st Communion

Confirmation

Church of Baptism

City

State

Sixth Family Member

---------------Sixth Family Member--------------------------------------------------------------------------------

Gender

First Name

Household Position

Email Address

Cell Phone

Nickname

Middle Name

Last Name

Date of Birth

Sacraments Completed

Baptism

1st Communion

Confirmation

Church of Baptism

City

State

End of Individual Members

------------------------------------------------------------------------------------------------------------------

I would like more information about:

Faith Formation

Altar Servers

Eucharistic Ministers

Readers

Musical Ministries

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We will get back to you as soon as possible

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Beloved Disciple Parish

Beloved Disciple

1310 South Center Street Ext, Grove City, PA 16127

724-748-6700

St. Michael the Archangel

807 Chestnut Street, PO Box 117, Emlenton, PA 16373

724-867-2422

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