New Member Form

Community Form Application

Become a part of our growing family! Signing up is now easier than ever with our online application. Just fill out the information, below. En Español

Personal Information

Your Name

Family Name

Date

Telephone Number

Your Email

Would you be interested in receiving church donation envelopes?
YesNo

Address

Street

City

State

Zip Code

Parent Information

Parent Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Parent Information

Parent Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Family Member Information

Member Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Family Member Information

Member Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Family Member Information

Member Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Family Member Information

Member Name

Relationship

Date of Birth

Marital Status

Sacraments (Please select all that apply)
BaptismFirst CommunionConfirmation

Date started to attend San Juan's:

Religion

Language

Occupation

Please list any ministries or groups that you currently belong to.

Please list any ministries or groups that you would like to join.

Thank you for filling out our form! Please allow 48 hours for our staff to review your application. We will contact you promptly.

Please verify your identity by entering the code.

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