Parish Registration

First Name *

Last Name *

Your Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Spouse's First Name *

Spouse's Last Name *

Spouse's Email *

Spouse's Cell Phone Number *

Prior Parish or Church, City and State *

Your Occupation *

Your Employer *

Your Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Religion *

Sacraments Received (select all that apply) *

Baptism First Communion Confirmation

Spouse's Occupation *

Spouse's Employer *

Spouse's Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Spouse's Religion *

Spouse's Sacraments Received *

Baptism First Communion Confirmation

Children's Information

Child 1 Enrolled in Religious Ed? *

Yes No

If "Yes", where? *

Child 2 Enrolled in Religious Ed? *

Yes No

If "Yes", where? *

Child 3 Enrolled in Religious Ed? *

Yes No

If "Yes", where? *

Please Choose Any *

Please sign me up as a New Parishioner I'm not married in the church but would like information on a church wedding Please add me to the St. Brendan email list We have a household member that needs pastoral visits We'd like information on how to become Catholic We'd like information on religious education for children

Please contact Fiona at 415.681.4225 for personal help and assistance. We want to welcome all of you to St. Brendan.