Family Registration Form

Welcome to St. John Nepomuk Catholic Church in Yukon, Oklahoma. The sacred purpose
 of our parish community is through the Holy Spirit, we magnify God's greatness by walking
 together on our journey of faith and by building bridges that strengthen discipleship on our
 mission to follow Jesus Christ.

 Learn more about us through our website www.sjnok.org.
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Click Submit Form to send this information to Saint John Nepomuk Catholic Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
*Birth Date
*Gender Female   Male
  Language *Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism Received Date Place
* 1st Comm Received Date Place
* Confirm Received Date Place
  Marriage Received Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
Talents
  Talent 1 Interested in Joining

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  1st Comm Received Date Place
  Confirm Received Date Place
  Marriage Received Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
Talents
  Talent 1 Interested in Joining

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email Unlisted
Send Email Instead of Mail When Possible

  Pledges
  Pledge 1   Name Church Contributions
  Pledge for
  Start from    to   
  Frequency
  Total
  Rate

  Pledge 2   Name Building Fund
  Pledge for
  Start from    to   
  Frequency
  Total
  Rate

Total All Pledges = $0.00

  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
   Baptism Received Date Place
   1st Comm Received Date Place
   Confirm Received Date Place
   Marriage Received Date Place