Registration Form. 407 S 33 rd Street Fort Pierce, FL Office Fax

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1 Registration Form 07 S rd Street Fort Pierce, FL 97 Office 77-- Fax

2 Welcome to St. Anastasia Catholic Church Upon your completion of our registration form for St. Anastasia our office will properly record your personal data for your convenience. Please keep in mind it is very difficult for any administration to identify a family as officially registered, when there is no official record or data on a family. As a register member of St. Anastasia Catholic Church, the church can better assist you and your family in matters regarding: sacramental record keeping, wedding preparation, completion of sacraments needed, funeral arrangements, sick calls, homebound or hospital outreach opportunities, taxable donation relief and much more. As a registered family the church will have a history on your family s tithing regarding time, talent and treasure. For those parents seeking subsidy support: When your family is registered at a church other than St. Anastasia and you would like to officially register with us, you will need a letter signed by the Pastor of the church you are leaving. That signed letter must accompany this registration form. Additionally, in order to begin to qualify for subsidy support from St. Anastasia Church, you and your family must have at least one full year of ministry involvement and uninterrupted tithing for consecutive months with our church. As you review your options for tithing, the church highly encourages you to sign up for online giving through Faith Direct. If you are a new parishioner with a possible interest to qualify for parish subsidy support, Faith Direct is a requirement. All tithing should reflect your prayerful discernment of giving back to God. Tithing also reflects the commitment your family has to the church. Thank you for taking the time to read through the above information. As Pastor, Shepherd and Father of St. Anastasia Catholic Church and School, I welcome you to our parish family. Weekday Masses 8: a.m. Monday through Saturday Immediately following Adoration All are encouraged to come. Reconciliation is every :00 p.m.

3 (Please print clearly using ink or type) Date of Completion: Family Name: Your Name: Single: Yes No Spouse Name: (Maiden) Your Occupation: Spouse Occupation: Children: Permanent Address: Seasonal Address: Mailing Address: (if different from Permanent Address) Phone Numbers: Best one to reach you by: Secondary: Additional: Home Work Cell Home Work Cell Seasonal Home Work Cell Do you wish to receive correspondence from St. Anastasia via ? Yes No Address: Address: Do you wish to receive offertory envelopes? Do you prefer to sign up for online giving? Yes No Yes No

4 Why use envelopes? Envelopes are instruments to help you in your stewardship accountability. They also allow our bookkeepers to be more accurate in their accounting ledgers. The system, of course, is voluntary. If you do not use the envelopes, unless you write a personal check, we will not be able to certify your charitable contributions for your income tax statements, and more importantly, for your parish affiliation forms when you enroll your children in the parish school. We also offer online giving at (church code is FL) it s convenient, saves you time and saves the church the cost of envelopes and postage. Please contact the parish office for more information. **VOLUNTEER**VOLUNTEER**VOLUNTEER**VOLUNTEER**VOLUNTEER**VOLUNTEER**VOLUNTEER* (Check all that apply-currently involved in or would be interested in joining) Parish Ministries: Currently Involved Interested in Joining Altar Server Ministry Bereavement Ministry Chalice Program Ministry Children s Liturgy Ministry Evangelization & Faith Formation Friends and Family Fellowship Lector & Eucharistic Ministry Natural Family Planning Nursery Ministry Perpetual Eucharistic Adoration Prison Ministry Respect Life Ministry Sacramental Outreach Stewardship & Ministries Council Ushering Ministry Youth Ministry Vocations Council Organizations/Clubs: BINGO Bridge Club Council of Catholic Women - CCW Knights of Columbus Scouting St. Vincent DePaul SPECIAL INTEREST & TALENTS: Any areas of concern or things you may need help with: (Including any sacramental needs for your family) Welcome to St. Anastasia Parish we look forward to seeing you at Mass!

5 Attach copies of Baptism Certificates instead of filling out this section Baptism Baptismal Name Birthdate Church Church Address Performed by Date Sponsors Name Church Church Address Performed by Date Sponsors Attach copies of st Communion Certificates instead of filling out this section First Communion Name Church Church Address Performed by Date Attach copies of Confirmation Certificates instead of filling out this section Confirmation Name Church Church Address Performed by Date Sponsors Attach copy of Marriage Certificate instead of filling out this section Sacraments of the Church - Include all Family Members Reconcilliation Marriage Name (wife's maiden name) Date Church Church Address Performed by Widowed Ceremony Husband Yes / No Catholic / Non-Catholic / Civil Wife Yes / No Catholic / Non-Catholic / Civil Do you need assistance in getting your marriage blessed? Yes No Would you like to explore avenues surrounding an annulment? Yes No If Widowed, Deceased s Name: Date of Death:

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