Home
Newcomers
Parish Life
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About
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Contact
- Parishioner Information Update

Home
Newcomers
Parish Life
Giving
About
- Staff
- History
Contact
- Parishioner Information Update

Register to become a parishioner

Registration form

Address

City

State

Zip code

Primary Phone

Our phone number is unlisted

Yes

Family Email

Head of Household First Name

Head of Household Last Name

Maiden Name (if applicable)

Nick Name (if applicable)

Date of Birth

Cell Phone

I would like to receive periodic parish texts at this number

Yes

No

Individual Email (if applicable)

Marital Status

Catholic Marriage

Married outside the Catholic Church

Widowed

Annulled

Divorced

Single

Religion

Christian/Catholic Baptism

Yes - Catholic Baptism

Yes - Other Christian Baptism

Not Baptised

Catholic First Communion

Yes

No

Catholic Confirmation

Yes

No

Employer

Business Phone

Grade Completed

Spouse First Name

Spouse Last Name

Maiden Name (if applicable)

Nickname (if applicable)

Date of Birth

Cell Phone

I would like to receive periodic parish texts at this number

Yes

No

Individual Email (if applicable)

Christian Catholic Baptism

Yes - Catholic Baptism

Yes - Other Christian Baptism

Not Baptised

Catholic First Communion

Yes

No

Catholic Confirmation

Yes

No

Occupation

Employer

Business Phone

Grade Completed

Additional Famiy Member - First Name

Additional Famiy Member -Last Name

Date of Birth

School and Grade (if applicable)

Baptism

Yes - Catholic Baptism

Yes - Other Christian Baptism

Not Baptised

Catholic First Communion

Yes

No

Catholic Confirmation

Yes

No

If you have more members, please list them here and note birthdate, gender, Baptism, First Communion and confirmation if applicable.

Do you or a family member have a disability that you would like us to know about? (optional)

Were there activities you enjoyed or ways you served at other parishes? Please list here.

Previous Parish

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Contact Info

2130 Pemberton Dr, Fort Wayne, IN, 46805, United States

Msgr. Robert Schulte: 260-484-6609 ext 1001

rschulte@stjudefw.org

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