Parish Registration Queen of the Apostles

Queen of the Apostles Catholic Parish

303 West Monroe Street
Tomah, WI 54660

Welcome to our parish community of Queen of the Apostles in Tomah and Warrens! Thank you for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Head of Household

Name

First Name

Last Name

Home Address

Street 1

Street 2

City

State

Zip

Primary Phone

Required* --

Gender

	Male
	Female

Date of Birth

Email Address

Required*

Religion

Occupation

Employer

Baptized

	Yes
	No

Parish and City

Confirmed

	Yes
	No

Date

Marital Status

Married in the Catholic Church?

	Yes
	No

Anniversary Date

Place of Marriage

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?

Other Preferred Means of Communication? Please list here.

Name of Spouse

First Name

Last Name

Spouse Email Address

Spouse Phone

Gender

	Male
	Female

Date of Birth

E-mail

Religion

Occupation

Employer

Baptism

	Yes
	No

Parish and City

Confirmed

	Yes
	No

Date

First and Last Name(s) of Other Adult(s) in Household

Name

First Name

Last Name

Birth Date

Sacramental Records

	Baptized
	First Communion

Confirmed

Baptized Date

Parish and City

Name

First Name

Last Name

Birth Date

Sacramental Records

	Baptized
	First Communion

Confirmation

Name

First Name

Last Name

Baptized Date

Parish and City

First Communion Date

Parish Name and City

Confirmation Date

Parish Name and City

First and Last Names of Child(ren) in Household

Birth Date

Baptized Date

First Communion Date

Parish Name and City

Confirmation Date

Parish Name and City

Baptized Date

First Communion Date

Parish Name and City

Confirmation Date

Parish Name and City

Parish Activities & Areas of Interest

Parish Registration Queen of the Apostles

Queen of the Apostles Catholic Parish

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