St. Pius X Billings Registration Form

If you would like to print the form and fax, mail or place in the Sunday collection basket, please CLICK HERE

If you would like to email the form, please fill out the following and click on the "SEND" button at the bottom of the form. Tab from field to field. If you hit the "Enter" button it will send the form.

Thank You.

PARISH REGISTRATION or INFORMATION CHANGE FORM

Name: (Last Only)

Address: Street City State Zip

Phone Number: (Please include Area Code): Home Work/Cell

Email Address:

How would you like your mail addressed?...
Mr. ......
Mrs. ......
Ms. ......
Mr. & Mrs. ......
Dr. ......
Dr. & Mrs. ......
Other:

FAMILY INFORMATION

FAMILY MEMBERS First and Last Name (If different from above)	MARITAL STATUS	GENDER	BIRTHDATE	RELIGION	ADULT’S OCCUPATION and EMPLOYER	SACRAMENTS (Approx. Date)
Head of Household:	.	.	.	.	Occupation: Employer: Phone:	Baptism 1st Comm. Confirmation
Spouse:	.	.	.	.	Occupation: Employer: Phone:	Baptism 1st Comm. Confirmation
CHILDREN: (Print First and Last Name if Different from above.)

Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation
Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation
Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation
Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation
Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation
Child:	GENDER	BIRTHDATE	RELIGION:	Child's School: Child's Grade:	Baptism1st Comm.Confirmation

INFORMATION CHANGE

New Parishioner

Put me on the mailing list & send Sunday Envelopes

Change of Address

New Phone Number

I am moving, remove me from the mailing list

Address Correction Requested

I am not currently a Catholic, but would like to know more about the Catholic Church.

I have a concern or question, or would like more information on:

I would like to serve in the Parish as: