Parish Registration/Family Census

Begin Census here: REQUIRED I am a new parishioner I am a current parishioner updating my information I grew up in this parish and am registering separately from my parents. I would like to cancel our membership Please fill out this field.

If cancelling membership, please specify why

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Family Email Please enter an email address.

Home Phone Number Please enter a phone number.

Head of Household First Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Maiden Name (if applicable) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Are you Catholic? REQUIRED Yes No Please fill out this field.

If not Catholic, in what religion were you baptized? Please enter valid data.

Marital Status REQUIRED Please fill out this field.

Wedding Date Please enter a date.

Church Name/City/State of Marriage REQUIRED Please fill out this field.

Sacraments Received Baptism First Communion Confirmation

Year of Baptism/Church/City, State Please enter valid data.

Year of First Communion/Church/City, State Please enter valid data.

Year of Confirmation/Church/City, State Please enter valid data.

Alumni of Blessed Sacrament School REQUIRED Please fill out this field.

If a BSS alumni, what year Please enter an integer (number).

Individual Email Please enter an email address.

Cell phone Please enter a phone number.

Occupation and Employer Please enter valid data.

Parish Envelope Requested Already receiving No envelope please Please assign envelope number Please email me an ACH form to set up recurring online contributions

Would you like to receive your contribution statement via email REQUIRED Yes Not at this time Please fill out this field.

Email address for contribution statement Please enter an email address.

Does anyone in your family have a special need? Homebound visits, receive a sacrament, faith formation, etc

I would like to serve the parish as a: Usher Lector Eucharistic Minister Music Ministry Arts Committee PSR Substitute St. Vincent de Paul Perpetual Adoration

I'd like to receive communication from (not more than once a week) General Church Information Men's Club Women's Club Adult Faith Formation

Spouse/Other Adult's Name (if applicable) Please enter valid data.

Gender REQUIRED Please fill out this field.

Maiden Name (if applicable) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Are you Catholic? REQUIRED Yes No Please fill out this field.

If not Catholic, in what religion were you baptized? Please enter valid data.

Sacraments Received Baptism First Communion Confirmation

Year of Baptism/Church/City, State Please enter valid data.

Year of First Communion/Church/City, State Please enter valid data.

Year of Confirmation/Church/City, State Please enter valid data.

Alumni of Blessed Sacrament School REQUIRED Please fill out this field.

If a BSS alumni, what year Please enter an integer (number).

Spouse Email Please enter an email address.

Spouse Cell phone Please enter a phone number.

Occupation and Employer Please enter valid data.

I would like to serve the parish as a: Usher Lector Eucharistic Minister Music Ministry Arts Committee PSR Substitute St. Vincent de Paul Perpetual Adoration

I'd like to receive communication from (not more than once a week) General Church Information Men's Club Women's Club Adult Faith Formation

Blessed Sacrament

Springfield, IL

Parish Registration/Family Census

In an effort to keep our family database current, we ask all families to complete a Family Census Form. Information will be used for church use only. Complete this form and we will be able to better improve the communication between the parish and our "flock".

Update Contact Information

New Parishioner Form and Family Census

Weekly Info Signup

Parish Registration Form