Parish Registration Form

Submitter Information

Thank you for registering or updating your existing registration with Infant Jesus parish of Port Jefferson. Our parishioners are the most treasured part of our parish, and we are always seeking ways in which we can serve them better. Having the proper information on hand to assist them in all matters, from the mundane to the spiritual, is vitally important to us. This form will ask a series of questions about your general family contact information and also about each member of your household. We appreciate the time it takes for you to fill out the form as completely as possible.

If your household is blessed with more than six members, simply fill out a second copy of this form. The first and second pages will be filled with the same information so we can identify you as the same household, but then you can add your remaining household members.

First, please let us know how to contact you in case we have any questions about your registration and so we can send you confirmation notices.

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Basic Household Contact Information

On this page of the form we are asking you to give us basic contact information. Note: For address, please use the street address. There is a place for preferred mailing address, and even for an alternate address for those who spend part of the year away. Also, please be sure to include a general contact e-mail address.
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Head of Household Registration

For our records one person must be listed as the Head of Household. For the purposes of our database system, this is typically the husband. Otherwise, please enter the information of the person most responsible for the house hold.

Also, please list all your children, even if they no longer live in your household.

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For example: Typically this is for children who have, as adults, moved out of the home. Also they may be a member of another faith group. Remember, they are always welcome here in our parish as members, or to join us at any of our events, ministries etc.

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For example: wheelchair user, visually impaired, mobility issues

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Describe or List involvement in Parish Ministries, Volunteering, Groups, Activities and Events

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You must select either 'Yes', 'No' or 'Navigate to Another Page' to continue entering information into this form.

Please help us reduce SPAM.
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Spouse or Household Member 2 Information

Please enter registration information for the second person of the household.

Also, list all your children, even if they no longer live in your household. Is, you may mark them as not active in this parish.

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For example: Typically this is for children who have, as adults, moved out of the home. Also they may be a member of another faith group. Remember, they are always welcome here in our parish as members, or to join us at any of our events, ministries etc.

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For Example wheelchair user, visually impaired, mobility issues...

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Describe or List involvement in Parish Ministries, Volunteering, Groups, Activities and Events

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You must select either 'Yes', 'No' or 'Navigate to Another Page' to continue entering information into this form.

Household Member 3 Information

Please enter registration information for the third person of the household.

Also, list all your children, even if they no longer live in your household. Is, you may mark them as not active in this parish.

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For example: Typically this is for children who have, as adults, moved out of the home. Also they may be a member of another faith group. Remember, they are always welcome here in our parish as members, or to join us at any of our events, ministries etc.

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For Example wheelchair user, visually impaired, mobility issues...

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Describe or List involvement in Parish Ministries, Volunteering, Groups, Activities and Events

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You must select either 'Yes', 'No' or 'Navigate to Another Page' to continue entering information into this form.

Household Member 4 Information

Please enter registration information for the fourth person of the household.

Also, list all your children, even if they no longer live in your household. Is, you may mark them as not active in this parish.

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For example: Typically this is for children who have, as adults, moved out of the home. Also they may be a member of another faith group. Remember, they are always welcome here in our parish as members, or to join us at any of our events, ministries etc.

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For Example wheelchair user, visually impaired, mobility issues...

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Describe or List involvement in Parish Ministries, Volunteering, Groups, Activities and Events

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You must select either 'Yes', 'No' or 'Navigate to Another Page' to continue entering information into this form.

Household Member 5 Information

Please enter registration information for the second person of the household.

Also, list all your children, even if they no longer live in your household. Is, you may mark them as not active in this parish.

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For Example wheelchair user, visually impaired, mobility issues...

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Describe or List involvement in Parish Ministries, Volunteering, Groups, Activities and Events

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You have reached the end of this form. If you are blessed with additional members of your household that you were unable to list here, after submitting this form, please fill out the "Member Update Form" for each person not listed here.

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For example: Typically this is for children who have, as adults, moved out of the home. Also they may be a member of another faith group. Remember, they are always welcome here in our parish as members, or to join us at any of our events, ministries etc.