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St. Catherine Mission

Information Update Form

Name *

First

Last

What information would you like to update today?

Marriage Status
Name Change
New Child(ren)
Address
Phone Number
Email Address
Occupation

Check all that apply.

UPDATED ADDRESS: *

Address Line 1

Address Line 2

City

State

Zip Code

UPDATED MARITAL STATUS *

Married
Separated
Divorced
Widowed

Are you married within the Catholic Church? *

Yes
No
No, but I am interested in having my marriage blessed.

NEW NAME: *

First

Last

OLD NAME: *

First

Last

SPOUSE:

Date of Marriage: *

Name *

First

Last

Gender *

Male
Female

Birthdate: *

Phone *

Email

Do you wish to receive parish updates at this e-mail address? *

Yes
No

Sacraments your spouse has received: *

Baptism
First Communion
Confirmation
Holy Matrimony
My spouse is not Catholic
My spouse has not received the Sacraments, but is interested in becoming Catholic.

Religion *

Occupation *

DID YOUR LAST NAME CHANGE?

Your Old Name: *

First

Last

Your New Name: *

First

Last

Former Spouse's Name *

First

Last

Date of Marriage Dissolution: *

We are so sorry to learn that your spouse has passed away. If there is anything we can do in your time of loss, please let us know. If you are in need of making arrangements for a Funeral Mass, please contact the parish office at your earliest convenience at 417-326-5596. While we wait for your call, we will update our records with the following information:

Spouse's Name: *

First

Last

Please enter the date of death of your spouse: *

Spouse's Phone Number

If your spouse’s phone number is no longer in use, please list it above, so we can remove it from our records.

WHOSE OCCUPATION WOULD YOU LIKE TO UPDATE:

MYSELF
SPOUSE

Occupation: *

Spouse's Occupation: *

Spouse's Name: *

First

Last

CHECK WHICH PHONE NUMBERS YOU WOULD LIKE TO CHANGE:

Primary Phone
Cell Phone
Home Phone
Spouse’s Phone

NEW PRIMARY PHONE NUMBER: *

Primary phone number for receiving communication from the Parish Office.

NEW HOME PHONE NUMBER: *

NEW CELL PHONE NUMBER: *

NEW SPOUSE'S PHONE NUMBER: *

SPOUSE'S NAME: *

First

Last

WHOSE E-MAIL WOULD YOU LIKE TO UPDATE:

Myself
Spouse

UPDATED E-MAIL ADDRESS: *

Religion *

WOULD YOU LIKE TO RECEIVE PARISH UPDATES THROUGH THIS E-MAIL ADDRESS?

Yes
No

SPOUSE'S E-MAIL ADDRESS: *

SPOUSE'S NAME: *

First

Last

WOULD YOU LIKE TO RECEIVE PARISH UPDATES THROUGH THIS E-MAIL ADDRESS?

Yes
No

NUMBER OF CHILDREN ADDED TO YOUR FAMILY:

Selected Value: 0

Name *

First

Last

Birthdate *

Gender *

Male
Female

Religion *

Check the Sacraments your child has received: *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation
My Child is in need of a Sacrament

Which Sacraments does your child need? *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation

Name *

First

Last

Birthdate *

Gender *

Male
Female

Check the Sacraments your child has received: *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation
My Child is in need of a Sacrament

Which Sacraments does your child need? *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation

Name *

First

Last

Birthdate *

Gender *

Male
Female

Religion *

Check the Sacraments your child has received: *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation
My Child is in need of a Sacrament

Which Sacraments does your child need? *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation

Name *

First

Last

Birthdate *

Gender *

Male
Female

Religion *

Check the Sacraments your child has received: *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation
My Child is in need of a Sacrament

Which Sacraments does your child need? *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation

Name *

First

Last

Birthdate *

Gender *

Male
Female

Religion *

Check the Sacraments your child has received: *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation
My Child is in need of a Sacrament

Which Sacraments does your child need? *

Baptism
First Reconciliation (Confession)
First Communion
Confirmation

PARISHIONER PREFERENCES

PREFERRED METHOD FOR CONTRIBUTION: *

ENVELOPES
ONLINE
THROUGH FINANCIAL INSTITUTION
NOTHING NEEDS TO BE CHANGED

I (WE) WOULD LIKE MORE INFORMATION REGARDING THE FOLLOWING CHURCH PROGRAMS:

Parish Catholic Council of Women (PCCW)
Choir
Vocations
Knights of Columbus
Funeral Dinner Ministry
Landscape/Grounds Upkeep
Faith Formation Classes (PSR)
Catechists/Substitutes Teachers
Liturgical Ministries (i.e. Altar Serving, Reading, Ushering)

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