Author: Colleen Parcells

Family Registration	(office use)Reg. Date:	       /        /	
	HOLY ANGELS PARISH	(office use)Envelope ID #_______	
		81 Cooper St. • Woodbury, NJ 08096	
856-845-0123
Email: mail@holyangelsnj.org   •   Website: www.holyangelsnj.org
	
Mailing Name: Title: 		First Name			______________	Last Name			______
	Address:	Add2:									
	City:	State	Zip:			
	Home Phone:	/	/	  Emerg. Phone:	/	/	  	Cell Phone:	/	/	
	Family Email:	Do you want to receive envelopes?	 Or use Electronic Giving?___
			Visit our website to sign up for Electronic Giving
   Racial/Ethnic Heritage:___Caucasian    ___Hispanic  ___Korean  ___African American  ___Vietnamese  Other	             

Individual Member Information

 			i wish to receive the star herald
	Parish of Current Registration:				for $27 per year___Y___ or __  N___

	Parish Status: ___Active   ___ Inactive				Parish Status: ___Active   ___ Inactive

	Role:							 	Role:								
	      (Head of House, Husband, Wife etc.)			       (Head of House, Husband, Wife etc.)

	First Name / Nickname:	/	   First Name / Nickname:			/		

	Gender:Male__Female__(Maiden Name)			Gender:Male__Female__(Maiden Name)			
	
		DOB (mm/dd/yyyy):           /            /				DOB (mm/dd/yyyy):       	    /            /		

	Email:		Email:									
	Work Phone:_______/______/______ ext.______		Work Phone:_______/______/______ ext.______

	Cell Phone:____________/______/_		Cell Phone:_____	__/______/__		____

	First Language:						First Language:					

	Education: ___high school ___associate___bachelor	Education: ___high school ___associate___bachelor
		            ___master___phd   other_______________		        ___master___phd   other_______________

	Occupation:							Occupation: 						

Check Sacrament LINES.   Add Dates if Known:  	Check Sacrament LINES.  Add Dates if Known:

__Baptism:        /      /            Catholic:___Other:________	__Baptism:        /      /            Catholic:___ Other:________
	
__Reconciliation (confession):      /      /      	__Reconciliation (confession):      /      /      

__1^st  Eucharist:       /      /         __Confirmation:      /      /      	__1^st  Eucharist:      /      /          ___Confirmation:      /      /       

Marital Status:                    	    	Marital Status:                    			___	____
	 (Single, Married, Separated, Divorced, Annulled, Widowed)		(Single, Married, Separated Divorced, Annulled, Widowed)

Date/Place/City of Marriage_		___	______Valid Catholic Marriage?________

	Are there any members of your household who would like to be visited by a priest?_____                            June 2023 Page 1

DEPENDENT CHILDREN/FAMILY MEMBERS LIVING AT THIS ADDRESS

1.__________     _____________/________/___________   _____	M / F  	       /      /	  				
 (Relationship)              (First Name)      (Middle)          (Last Name)	   (Gender)  	Birthdate	Place of Birth(City/State)
Check if Sacrament Received. Add dates if known.
Baptism_____   Catholic?_____   1^ST Eucharist____  	Reconciliation (Confession)_____   Confirmation		
	 	___/      /_____     	       	   /      /   ___      		/      /    __               	     	   /      /   __  
	
	Grade:______School:___			____		Occupation:_________________________________________

	Education: h.s.__assoc.__b.a __B.S.__ master__phd__other________________________________________________
2. __________     _____________/________/___________   _____	M / F  	       /      /	  				
 (Relationship)              (First Name)      ( Middle)          (Last Name)	   (Gender)  	Birthdate	Place of Birth(City/State)
Check if Sacrament Received. Add dates if known.
Baptism_____   Catholic?_____   1^ST Eucharist___	___  Reconciliation (Confession)_____   Confirmation_	__
	 	___/      /_____     	       	   /      /   __      			/      /    __               	     	   /      /   __  
	Grade:______School:___			____		Occupation:_________________________________________

	Education: h.s.__assoc.__b.a __B.S.__ master__phd__other________________________________________________
3. __________     _____________/________/___________   _____	M / F  	       /      /	  				
 (Relationship)              (First Name)      (Middle)          (Last Name)	   (Gender)  	Birthdate	Place of Birth(City/State)
Check if Sacrament Received. Add dates if known.
Baptism_____   Catholic?_____   1^ST Eucharist___	___  Reconciliation (Confession)_____   Confirmation_	__
	 	___/      /_____     	       	   /      /   __      			/      /    __               	     	   /      /   __  
	Grade:______School:___			____		Occupation:_________________________________________

	Education: h.s.__assoc.__b.a __B.S.__ master__phd__other________________________________________________
4. __________     _____________/________/___________   _____	M / F  	       /      /	  				
 (Relationship)              (First Name)      (Middle)          (Last Name)	   (Gender)  	Birthdate	Place of Birth(City/State)
Check if Sacrament Received. Add date if known.
Baptism_____   Catholic?_____   1^ST Eucharist___	___  Reconciliation (Confession)_____   Confirmation_	__
	 	___/      /_____     	       	   /      /   _	_      			/      /    _	_        	___   /      /   __  	
	Grade:______School:___			____		Occupation:_________________________________________

	Education: h.s.__assoc.__b.a __B.S.__ master__phd__other________________________________________________
5. __________     _____________/________/___________   _____	M / F  	       /      /	  				
 (Relationship)              (First Name)      (Middle)          (Last Name)	   (Gender)  	Birthdate	Place of Birth(City/State)
Check if Sacrament Received. Add dates if known.
Baptism_____   Catholic?_____   1^ST Eucharist___	___  Reconciliation (Confession)_____   Confirmation_	__
	 	___/      /_____     	       	   /      /   __      			/      /    __               	     	   /      /   __  
	Grade:______School:___			____		Occupation:_________________________________________

	Education: h.s.__assoc.__b.a __B.S.__ master__phd__other________________________________________________
please fill in all blanks and provide changes where necessary.  use separate sheet for additional members.

FAMILY MEMBERS INTERESTED IN PARISH MINISTRIES

	□  Religious Education of Youth	Name(s) ____________________________________

	□  Youth Ministry	Name(s) ____________________________________

	□  Liturgical Services	Name(s) ____________________________________

	□  Adult Education	Name(s) ____________________________________

	□  Human Services	Name(s) ____________________________________

	□  Administration	Name(s) ____________________________________

	□  Other	Name(s) ____________________________________

			June 2023 Page 2