St. Nicholas New Parishioner Form HOMEMASS & PRAYER BULLETINS DIRECTIONS SACRAMENTSFAITH FORMATION YOUTH ADULT FORMED.ORGGET INVOLVED BECOME A MEMBER EVENTSABOUT STAFF HISTORY I HISTORY II COME TO THE WATER ACC ST. MARY’S IMMACULATE CONCEPTION CONTACT US SAINT CLOUD DIOCESEGIVE NOW New Parishioner Form Personal InformationTo become a registered member of St. Nicholas Catholic Church of Belle River, complete the form below, then scroll to the bottom of the page and click "submit." Family Last Name * Required Last Address * Required Street Address City State / Province / Region ZIP / Postal Code Email * Required InformationName * Required First Middle Last Maiden Name Phone * RequiredIndicate phone type: * Required Cell Home Landline Religion * RequiredCatholicOtherGender * Required Male Female Date of Birth * Required MM slash DD slash YYYY Occupation * Required Employer Baptized? * Required Yes No First Communion? * Required Yes No Confirmation? * Required Yes No Marital Status * RequiredSingleMarriedWidow/WidowerDate of Marriage * Required MM slash DD slash YYYY Spouse's Name * Required First Middle Last Maiden Name Spouse's Phone * RequiredIndicate phone type: * Required Cell Home Landline Spouse's Religion * RequiredCatholicOtherSpouse's Gender * Required Male Female Spouse's Date of Birth * Required MM slash DD slash YYYY Spouse's Occupation * Required Spouse's Employer Spouse Baptized? * Required Yes No Spouse First Communion? * Required Yes No Spouse Confirmation? * Required Yes No DependentsDo you have dependents living at home or in college? * Required No Yes Dependent's DetailsPlease provide the following details for your first dependent. Click on the "+" icon below to add fields for each additional dependent. Click on the "-" icon if you need to remove an added section of fields.Dependent's DetailsFirst NameLast NameDate of BirthGenderGradeBaptized? (Y/N)First Communion? (Y/N)Confirmation? (Y/N) Additional InformationWould you like to receive the Central Minnesota Catholic Magazine? * Required Yes No CAPTCHA
