Church Registration

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Household Registration

You can register online by filliong out form below, or print out this registration form and drop it off at the parish office.

Household Last Name(*)

Invalid Input

Household primary Phone Number(*)

Invalid Input

Address(*)

Invalid Input

City, State and Zip Code(*)

Invalid Input

Can we Publish Household Name, Address and Phone in Parish Directory?

Permission to publish(*)

YesNo Invalid Input

Adult Household Member #1

Full Name(*)

Please type your full name.

Cell Phone Number(*)

Invalid Input

E-mail(*)

Invalid email address.

Date of Birth(*)

Invalid Input

Roman Catholic Sacraments Received(*)

BaptismFirst CommunionConfirmation Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

Adult Household Member #2

Full Name

Please type your full name.

Cell Phone Number

Invalid Input

E-mail

Invalid email address.

Date of Birth

Invalid Input

Roman Catholic Sacraments Received

BaptismFirst CommunionConfirmation Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

Marriage Information

Were members #1 and #2 above married in Catholic Church?

YesNo Invalid Input

Date of Marriage

Invalid Input

PLEASE LIST ALL DEPENDENT CHILDREN:

Dependent Child 1

Full Name

Invalid Input

Date of Birth

Invalid Input

Child's Gender

MaleFemale Invalid Input

Roman Catholic Sacraments Received

BaptismFirst CommunionConfirmation Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

Dependent Child 2

Full Name

Invalid Input

Date of Birth

Invalid Input

Child's Gender

MaleFemale Invalid Input

Roman Catholic Sacraments Received

BaptismFirst CommunionConfirmation Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

Dependent Child 3

Full Name

Invalid Input

Date of Birth

Invalid Input

Child's Gender

MaleFemale Invalid Input

Roman Catholic Sacraments Received

BaptismFirst CommunionConfirmation Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

Dependent Child 4

Full Name

Invalid Input

Date of Birth

Invalid Input

Child's Gender

MaleFemale Invalid Input

If not Roman Catholic, please state denomination

Invalid Input

(*)

Invalid Input

St. Joseph Catholic Church
100 9th St, Springfield, NE 68059
Secretary, Sharon VanTassell
402-253-2949 (office)
secretary68059@gmail.com

Office Hours:
Monday, Tuesday, Friday: 8:30 a.m. - 12:30 p.m.
Wednesday & Thursday 8:30 a.m. - 12:00 p.m.

Bulletin Notices:
Submit in writing to office mailbox, email to secretary or call 402-253-2459 by 5:00 p.m. Tuesday.

Rectory:
102 S. 9th Street, Springfield, NE 68059
Phone: 402-253-2889

Parish

Mass Times
Contacts
Bulletin
Calendar
Register
Directions

Ministries

Ladies Guild
Knights of Columbus
RE
St. Joseph Outreach
Youth Group
RCIA

Sacraments

Baptism
Marriage
Confirmation
First Communion
Anointing of Sick
First Reconciliation

Contact Webmaster

Dear Parishioners,
It is our goal to keep information accurate and current. If you notice anything that needs to be corrected or updated, please, send a note to webmaster@wirebuilt.com. Thank you.