St. Thomas Aquinas Parish

A Roman Catholic Community

of the Diocese of Bridgeport

Phone: 203-255-1097 Email:[email protected]
203-255-1097

Parish Family Registration

- Info

For New Parishioners

Please complete and submit the online registration form below.

Alternatively, you can print and complete the downloadable version here.
You may bring the form to the Parish Office or place in the offertory basket at Mass.
St. Thomas Aquinas Parish Registration Form
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- Registration Date REQUIRED Please fill out this field. Please enter a date.
- Envelope # (For Office Use Only) Please enter valid data.
- Household Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing Name Header
- Mailing Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone (include area code) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mobile Phone (include area code) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Emergency Contact Name Please enter valid data.
- Emergency Contact Phone (include area code) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parish Envelopes YES, I would like to receive envelopes from the Parish
- Individual Member Information
  
  Fill in the following that is applicable
- Male
- First Name Please enter valid data.
- Date of Birth Please enter a date.
- Email (Individual) Please enter an email address.
- Work Phone (include area code) Maximum 20 characters Please enter a phone number.
- Employer Name Please enter valid data.
- Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
- Completed Sacraments Baptism Eucharist Confirmation Catholic Marriage
- Baptism Date Please enter valid data.
- Eucharist Date Please enter valid data.
- Confirmation Date Please enter valid data.
- Catholic Marriage Date Please enter valid data.
- Female
- First Name & Maiden Name (if applicable) Please enter valid data.
- Date of Birth Please enter a date.
- Email (Individual) Please enter an email address.
- Work Phone (include area code) Maximum 20 characters Please enter a phone number.
- Employer Name Please enter valid data.
- Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
- Completed Sacraments Baptism Eucharist Confirmation Catholic Marriage
- Baptism Date Please enter valid data.
- Eucharist Date Please enter valid data.
- Confirmation Date Please enter valid data.
- Catholic Marriage Date Please enter valid data.
- Dependent Children Information
  
  Fill in the following that is applicable
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
  
  Completed Sacraments Baptism Eucharist Confirmation
  
  Baptism Date Please enter valid data.
  
  Eucharist Date Please enter valid data.
  
  Confirmation Date Please enter valid data.
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
  
  Completed Sacraments Baptism Eucharist Confirmation
  
  Baptism Date Please enter valid data.
  
  Eucharist Date Please enter valid data.
  
  Confirmation Date Please enter valid data.
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
  
  Completed Sacraments Baptism Eucharist Confirmation
  
  Baptism Date Please enter valid data.
  
  Eucharist Date Please enter valid data.
  
  Confirmation Date Please enter valid data.
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
  
  Completed Sacraments Baptism Eucharist Confirmation
  
  Baptism Date Please enter valid data.
  
  Eucharist Date Please enter valid data.
  
  Confirmation Date Please enter valid data.
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Sacraments Section
  
  Please check and fill in corresponding dates if known
  (dates may be estimated)
  
  Completed Sacraments Baptism Eucharist Confirmation
  
  Baptism Date Please enter valid data.
  
  Eucharist Date Please enter valid data.
  
  Confirmation Date Please enter valid data.
Submit

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