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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