address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

household adult 1 *

First Name

Last Name

date of birth *

MM

DD

YYYY

phone 1 *

(###)

###

####

household adult 2

First Name

Last Name

date of birth

MM

DD

YYYY

phone 2

(###)

###

####

child 1

First Name

Last Name

date of birth

MM

DD

YYYY

child 2

First Name

Last Name

date of birth

MM

DD

YYYY

child 3

First Name

Last Name

date of birth

MM

DD

YYYY

child 4

First Name

Last Name

date of birth

MM

DD

YYYY

child 5

First Name

Last Name

date of birth

MM

DD

YYYY

name

First Name

Last Name

baptized at St. Matthew?

name

First Name

Last Name

baptized at St. Matthew?

name

First Name

Last Name

baptized at St. Matthew?

1. Please indicate your preferred Adult Session day/time by selecting one of the options below. *

Should you need to switch on a given month, that is okay, but in general this will be your slot.

Wednesdays 6-7p (social time 5:30-6p)

Sundays 10:30-11:30a (social time 10-10:30a)

2. Please indicate your preferred Family Session day/time by circling one of the options below. *

Should you need to switch on a given month that is okay, but in general this will be your slot.

Fridays 5:30p

Fridays 7p

Sundays 10:30a

5. Photos: *

Do you give permission for photos of your family or members of your family to be used in our St. Matthew’s bulletin, parish website, or social media?

yes

no

baptismal certificate *

I acknowledge that I must submit my child’s baptism certificate if they were not baptized at St Matthew Church.

payment *

I acknowledge that I must submit payment (below or to the office) for the registration to be complete.