Assumption Catholic Church - Registration for new members

 

 

 

 

First we ask for information about your "household".
(Information about individual people, including yourself, comes later)

After you click "Continue" at the bottom - we will ask for information about each person.
Please supply all information in one session; do not plan to stop and come back later.

 
Family Mail Name: How you would like your mail addressed:
Like "Bob and Sally Jones" or "Mr. & Mrs. Robert Jones"

A value is required.Required Field.Limit is 49 characters.
 
Street Address 1: Required Field.Required Field.Limit is 49 characters.
Street Address 2:
City, State, ZIP: A value is required.Minimum number of characters not met.Too long.      
Email:
  OK to use email for correspondence? Check if Yes
Preferred Phone:
Alternative Phone1:
Alternative Phone2:
Marital Status: Please select a valid item.Please select an item.
If married - When? (mm/dd/yyy)      Check if in a Catholic church
  Where married?
Why did you choose Assumption for your parish?
 
Have you any other interests or needs you'd like to share?
 
 

 


Assumption Catholic Church - 323 W Illinois Street - Chicago IL 60654