Christ the King
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Pastorate Member Registration Form
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- Mailing Name/Household Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- I would like my home parish to be: REQUIRED Please fill out this field.
- 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.
  
  Email (Head of Household) REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Workplace & Job Title:
  
  Baptism Info
  Provide Approx. Date and Church Name and City, State of Baptism. Was this a Catholic Service?
  
  Confirmation Info
  Provide an approx date and Church Name, City/St of your Confirmation. Was this a Catholic Service?
  
  Wedding Info
  Provide date and Church Name, City/St of your wedding. Was this a Catholic Service?
- Spouse/ Other Head of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email (Spouse/Secondary Email) Please enter valid data.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Birthdate Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Marital Status
  
  Religion Please enter valid data.
  
  Workplace & Job Title:
  
  Baptism Info
  Provide Approx. Date and Church Name and City, State of Baptism. Was this a Catholic Service?
  
  Confirmation Info
  Provide an approx date and Church Name, City/St of your Confirmation. Was this a Catholic Service?
  
  Wedding Info
  Provide date and Church Name, City/St of your wedding. Was this a Catholic Service?
- Other Members of Household
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter valid data.
  
  Religion Please enter valid data.
  
  Baptism Info
  Provide Approx. Date and Church Name and City, State of Baptism. Was this a Catholic Service?
  
  Confirmation Info
  Provide an approx date and Church Name, City/St of your Confirmation. Was this a Catholic Service?
- Other Members of Household/Children Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  First Communion and/or Confirmation Info
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  M/F REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Info
  
  Confirmation Info
Submit

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Printable Format
Welcome! We hope that you will join our pastorate community. To join one of the parishes, please either...
CTK REGISTRATION FORM
- Print the registration form and drop it off or mail it to the parish office at 1760 14th St. Monroe, WI 53566
OR
- Download and email the form to [email protected]
OR
- Give us a call at (608) 325-9506 to register by phone