YouTube Email Phone Facebook

Register

- About
  - About Being Catholic
    
    Becoming Catholic
    What do Catholic Believe?
    What is the Catholic Church?
  - Register
  - Calendar
  - Mass & Sacrament Times
  - Ministries

Parish Registration Form

Please fill out the form as completely as possible and then click submit. If you have more then 5 family members please indicate that there are additional members in the additional comments at the end of the form.

If you have any questions, contact the parish office at 847-888-2828 press 10 to connect with the parish secretary.
The maximum number of form submissions has been reached. This form is currently not available.
- Family General Information
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Marital Status Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Wedding Date, Parish Name, City, State (if applicable)
  
  Gender Male Female
  
  Primary Language Please enter valid data.
  
  Religion Please enter valid data.
  
  Profession/Employer/School
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Last Grade or Degree Completed
  
  Baptized
  
  Baptism Parish Name, City and State
  
  First Reconciliation
  
  First Reconciliation Parish Name, City and State
  
  Confirmation
  
  Confirmation Parish Name, City and State
- Additional Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  Relationship to Head of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Marital Status Please enter valid data.
  
  Maiden Name if applicable Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Primary Language Please enter valid data.
  
  Religion Please enter valid data.
  
  Profession Please enter valid data.
  
  Employer/School
  
  Business Phone Maximum 20 characters Please enter a phone number.
  
  Last Grade or Degree Completed
  
  Baptized? If yes, Baptism Parish Name, City and State
  
  First Reconciliation? If yes, First Reconciliation Parish Name, City and State
  
  First Communion? If yes, First Communion Parish Name, City and State
  
  Confirmed? If yes, Confirmation Parish Name, City and State
  
  Family Member 2
  
  Relationship to Head of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Marital Status Please enter valid data.
  
  Maiden Name if applicable Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Primary Language Please enter valid data.
  
  Religion Please enter valid data.
  
  Profession Please enter valid data.
  
  Employer/School
  
  Business Phone Maximum 20 characters Please enter a phone number.
  
  Last Grade or Degree Completed
  
  Baptized? If yes, Baptism Parish Name, City and State
  
  First Reconciliation? If yes, First Reconciliation Parish Name, City and State
  
  First Communion? If yes, First Communion Parish Name, City and State
  
  Confirmed? If yes, Confirmation Parish Name, City and State
  
  Family Member 3
  
  Relationship to Head of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Marital Status Please enter valid data.
  
  Maiden Name if applicable Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Primary Language Please enter valid data.
  
  Religion Please enter valid data.
  
  Profession Please enter valid data.
  
  Employer/School
  
  Business Phone Maximum 20 characters Please enter a phone number.
  
  Last Grade or Degree Completed
  
  Baptized? If yes, Baptism Parish Name, City and State
  
  First Reconciliation? If yes, First Reconciliation Parish Name, City and State
  
  First Communion? If yes, First Communion Parish Name, City and State
  
  Confirmed? If yes, Confirmation Parish Name, City and State
  
  Family Member 4
  
  Relationship to Head of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Marital Status Please enter valid data.
  
  Maiden Name if applicable Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Primary Language Please enter valid data.
  
  Religion Please enter valid data.
  
  Profession Please enter valid data.
  
  Employer/School
  
  Business Phone Maximum 20 characters Please enter a phone number.
  
  Last Grade or Degree Completed
  
  Baptized? If yes, Baptism Parish Name, City and State
  
  First Reconciliation? If yes, First Reconciliation Parish Name, City and State
  
  First Communion? If yes, First Communion Parish Name, City and State
  
  Confirmed? If yes, Confirmation Parish Name, City and State
- Additional Information
  
  Flocknotes
  Please indicate if you would like to be part of our Flocknote system. Flocknotes is a text/email system that our parish uses to commuicate important information and upcoming events.
  Yes No
  
  Additional Comments
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Register

Parish Registration Form