We encourage you to fill out this form, whether you participate in the Xavier community, regularly or occasionally.
Let us know how you would like correspondence to be addressed to your household.
ALL INFORMATION WILL BE HELD CONFIDENTIAL
Re-Registering ?(Y/N) New To Parish ? (Y/N) Name Address City State, Zip Code Work Phone Cell Phone Home Phone FAX E-mail
Todays Date
-- mm/dd/yy
Choose one of the following options:
Married Partnered Single Widowed Divorced
Household: Please give name, relationship, age of children, sacraments received:
Ministries at Xavier
Committees at Xavier
Volunteer availability:
Talents/Interests
Occupation:
Employer:
Questions/Comments: