Time/Talent/Treasure | Saint Vincent de Paul Catholic Church

Family Name*
The surname, or last name for your family.
Phone*
Please include mobile and work numbers below. This should be the primary phone for the household.
Address*
Street Address Address Line 2 City State ZIP Code
Primary Language*
Please indicate the language in which you would prefer to receive communication from the parish.
Other Languages*
Please indicate other languages your family uses.
Wedding date
MM slash DD slash YYYY
Preferred Mass times*
Please select all Mass times you prefer. You may select more than one by using the Ctrl or Shift key.
Person One
Person One Name*
Prefix First Middle Last
Person One: Date of birth
MM slash DD slash YYYY
Person One: Occupation
Person One: Mobile Phone
please leave blank if you do not have a cell or mobile phone.
Person One: Email
Person One: Do health, disability, age or transportation issues prevent you from volunteering your time to the parish?*
Person One: Are you Virtus trained?*
If not, please contact Dee Snurr at the parish office.
Person Two
Person Two Name
Prefix First Middle Last Suffix
Person Two: Date of birth
MM slash DD slash YYYY
Person Two: Occupation
Person Two: Mobile Phone
please leave blank if you do not have a cell or mobile phone.
Person Two: Email
Person Two: Do health, disability, age or transportation issues prevent you from volunteering your time to the parish?
Person Two: Are you Virtus trained?
If not, please contact Dee Snurr at the parish office.

Children in the home

Child's name	School child attends	Grade	Date of Birth (mm/dd/yyyy	Interested in being an altar server?

Person One