Become a Member

Welcome to Sacred Heart Church! We're happy you're here! To become a member, please fill out the information below.

Note: This form is to register one person. To register a family, please check the box at the bottom of the form to be mailed a more detailed registration form.

* Required Field

First Name *

Middle Name

Last Name *

This is my: *

Maiden NameMarried Name

Date of Birth *

I am over 18 years old: *

YesNo

I am:

MaleFemale

Phone Number *

This is my:

Home PhoneCell Phone

Email *

Full Street Address *

City *

State *

Zip Code *

Religion:

CatholicNon-Catholic ChristianNon-Christian

Sacramental Information (Check all that apply)I am BaptizedI have received my First PenanceI have received my First CommunionI am ConfirmedI am MarriedI am Ordained (Priest or Deacon)I have received Anointing of the Sick

I would like to (Check all that apply):Receive a form in the mail to register other family members besides myself.Be listed in our Parish Directory.Receive Giving Envelopes in the mail.Be mailed information on Electronic Giving.

New Member Form