Parish Registration Form

WELCOME TO ST. ANN PARISH!

Please fill out EITHER the online registration form below or click on the paper registration forms and return them to the parish office.

Member Status

New

Current / Returning

Giving Preference

Offertory Envelopes

Online Giving

Family Home Phone Number

Family Address (Include city, state and zip code)

Child (ren) live with:

Father and Mother

Father and Spouse

Father Alone

Mother and Spouse

Mother Alone

No children living at home

Primary language spoken at home?

Free Text

HEAD OF HOUSEHOLD INFORMATION

First, Middle and Last Name

If FEMALE, include MAIDEN NAME

Marital Status

Gender

Male

Femaile

Sacraments Completed (Check all that you have received)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

SPOUSE INFORMATION (If no spouse, skip this section)

Spouse First, Middle and Last Name

If FEMALE, include MAIDEN NAME

Gender

Male

Female

Sacraments Completed (check all that your spouse has received.)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

CHILDREN UNDER 18 (If no children, skip this section)

Child's First, Middle and Last Name

Gender

Male

Female

Current School Grade K-12

Sacraments Completed (check all that your child has received.)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Attends Catholic School or Religious Education (RE) Program?

Catholic School

Religious Education (RE) Program

None

Where, if Catholic School or Religious Education (RE) Program? (Include city, state and zip code.)

Away at College?

Yes

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

Additional Child (if none, skip this section.)

Child First, Middle and Last Name

Gender

Male

Female

Current School Grade K-12

Sacraments Completed (check all that your child has received.)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Attends Catholic School or Religious Education (RE) Program?

Catholic School

Religious Education (RE) Program

None

Where, if Catholic School or Religious Education (RE) Program? (Include city, state and zip code.)

Away at College?

Yes

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

Additional Child (if none, skip this section.)

Child First, Middle and Last Name

Gender

Male

Female

Current School Grade K-12

Sacraments Completed (check all that your child has received.)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Attends Catholic School or Religious Education (RE) Program?

Catholic School

Religious Education (RE) Program

None

Where, if Catholic School or Religious Education (RE) Program? (Include city, state and zip code.)

Away at College?

Yes

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

Additional Child (if none, skip this section.)

Child First, Middle and Last Name

Gender

Male

Female

Current School Grade K-12

Sacraments Completed (check all that your child has received.)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Attends Catholic School or Religious Education (RE) Program?

Catholic School

Religious Education (RE) Program

None

Where, if Catholic School or Religious Education (RE) Program? (Include city, state and zip code.)

Away at College?

Yes

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

RESIDENTAL ADULT CHILD OVER 18 (If no resident adult child, skip this section.)

Resident Adult Child First, Middle and Last Name

Gender

Male

Female

Marital Status

Sacraments Completed (Check all that your resident adult child has received)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

ADDITIONAL RESIDENT ADULT CHILD OVER 18 (If no resident adult child, skip this section.)

Resident Adult Child First, Middle and Last Name

Gender

Male

Female

Marital Status

Sacraments Completed (Check all that your resident adult child has received)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

OTHER RESIDENTAL ADULT (If no resident adult, skip this section.)

Resident Adult First, Middle and Last Name

Gender

Male

Female

Relationship to Registered Family

Marital Satus

Sacraments Completed (Check all that your resident adult has received)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

OTHER RESIDENTAL ADULT (If no other resident adult skip this section)

Resident Adult First, Middle and Last Name

Gender

Male

Female

Relationship to Registered Family

Sacraments Completed (Check all that your resident adult has received)

Baptism

First Reconciliation / Confession

First Holy Communion / Eucharist

Confirmation

Marriage

Marital Status

Please describe any disabilities or special needs you may have. If none, write in NONE

Free Text

We have a variety of ministries and parish organizations that you could join. Visit our website under "Ministries" and "Parish Life" to find out more information about them:

Lectors/Readers, Usher, Eucharistic/Extraordinary Minister, Bringing communion to home bound parishioner, Choir, Religious Education (ages 6 -16), Order of Christian Initiation of Adults (OCIA) ages 17 & older, Religious Education Volunteer, Bible Study, BE FORMED, Daybreak Shelter, Prayer Tree, Council of Catholic Women (CCW), CCW Sew Helpful, Knights of Columbus, Men's Club, Fisher of Men, Lawn & Grounds Crew, and Snow Removal Crew.

Our Location

24500 S. Navajo Drive,
Channahon, IL 60410

Contact Us

(815) 467-6962