New Parishioner Registration Form Play Pause Unmute Mute Please enable JavaScript in your browser to complete this form.DISCLAIMER: The information you provide will be for our parish use only. Please provide full names and complete dates Registration Type *New ParishionerInformation UpdateSalutationMr. & Mrs.Mr.Mrs.Ms.Family Name *Physical Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIs your physical address same as mailing address? *YesNoMailing AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long have you lived at this addressResident *Full-time residentPart-time residentIf part-time resident, how many months in Kona?Marital StatusSingleMarriedSeparatedDivorcedWidowedMarried by:PriestMinisterJudgeOtherDate MarriedHead of HouseholdNameFirstMiddleLastCell PhoneEmailGenderMaleFemalePlace of BirthBirth DateBaptized Catholic *YesNoFirst Confession *YesNoFirst Communion *YesNoConfirmation *YesNoMain LanguageSecond Language (if any)Occupation (indicate if Retired)Hobbies/SkillsSpecial Needs (if any)Attend Sunday Mass atSt. Michael’sImmaculate ConceptionHoly RosarySPOUSESpouse NameFirstMiddleLastGenderMaleFemaleCell PhoneEmailPlace of BirthBirth DateBaptized CatholicYesNoFirst ConfessionYesNoFirst CommunionYesNoConfirmationYesNoMain LanguageSecond Language (if any)Occupation (indicate if Retired)Hobbies/SkillsSpecial Needs (if any)Attend Sunday Mass atSt. Michael’sImmaculate ConceptionHoly RosaryCHILDREN LIVING IN HOUSEHOLD1st ChildNameFirstMiddleLastGenderMaleFemalePlace of BirthDate of BirthBaptized CatholicYesNoFirst ConfessionYesNoFirst CommunionYesNoConfirmationYesNoCompleted Religious EducationYesNoMain LanguageSecond Language (if any)School AttendingCurrent GradeHobbies/SkillsSpecial Needs (if any)2nd ChildNameFirstMiddleLastGenderMaleFemalePlace of BirthDate of BirthBaptized CatholicYesNoFirst ConfessionYesNoFirst CommunionYesNoConfirmationYesNoCompleted Religious EducationYesNoMain LanguageSecond Language (if any)School AttendingCurrent GradeHobbies/SkillsSpecial Needs (if any)3rd ChildNameFirstMiddleLastGenderMaleFemalePlace of BirthDate of BirthBaptized CatholicYesNoFirst ConfessionYesNoFirst CommunionYesNoConfirmationYesNoCompleted Religious EducationYesNoMain LanguageSecond Language (if any)School AttendingCurrent GradeHobbies/SkillsSpecial Needs (if any)4th ChildNameFirstMiddleLastGenderMaleFemalePlace of BirthDate of BirthBaptized CatholicYesNoFirst ConfessionYesNoFirst CommunionYesNoConfirmationYesNoCompleted Religious EducationYesNoMain LanuageSecond Language (if any)School AttendingCurrent GradeHobbies/SkillsSpecial Needs (if any)Submit