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1891 Kaneville Road | Geneva, IL 60134 | 630-232-0124
Instructions
Please fill out the following registration form and we will be in touch with you soon! If you have questions, please don't hesitate to contact Lisa below.
Contact Lisa
Call Me
630-232-0124, ext. 111
Send Me a Message
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Name
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Last
Email
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Phone Number (optional)
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Message
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Submit
Parish Directory Permission
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Would you like your information published in our parish directory?
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YES, you may publish my contact information for parish use only. (We never give parishioner information to outside sources. All uses are for parish business)
NO, please do NOT publish my contact information.
Personal & Contact Details
Family Last Name
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Family Phone
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Home
Mobile
Work
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Primary Email
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Secondary Email
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Street Address
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City
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State
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Illinois
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Primary Adult Contact
First Name (nickname if any) Last Name
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First
Last
[object Object]
Maiden Name (if applicable)
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Date of Birth (mm/dd/yyyy)
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Religious Denomination
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Occupation
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Baptism
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Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Secondary Adult Contact
First Name (nickname if any) Last Name
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First
Last
Maiden Name (if applicable)
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Date of Birth (mm/dd/yyyy)
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Religious Denomination
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Occupation
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Baptism
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Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Marriage
Marital Status
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Single
Married
Separated
Divorced
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Date Married (mm/dd/yyyy)
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If not married, use today's date to fill required field
Married by...
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Catholic Priest / Deacon
Minister
Justice of the Peace
Single
Marriage Convalidation / Blessing
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N/A
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No
Date of Convalidation / Blessing (mm/dd/yyyy)
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If you have not had your marriage convalidated or blessed, would you be interested in receiving more information about such a blessing?
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Child #1
Child #1 Name
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School
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Grade
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3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Religious Denomination
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Baptism
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Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Child #2
Child #2 Name
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First
Last
Gender
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Male
Female
Date of Birth (mm/dd/yyyy)
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School
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Grade
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Pre-School
1st
2nd
3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Religious Denomination
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Baptism
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Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Child #3
Child #3 Name
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First
Last
Gender
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Male
Female
Date of Birth (mm/dd/yyyy)
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School
*
Grade
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Religious Denomination
*
Baptism
*
Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Child #4
Child #4 Name
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First
Last
Gender
*
Male
Female
Date of Birth (mm/dd/yyyy)
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School
*
Grade
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Religious Denomination
*
Baptism
*
Yes
No
1st Communion
*
Yes
No
Confirmation
*
Yes
No
Child #5
Child #5 Name
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First
Last
Gender
*
Male
Female
Date of Birth (mm/dd/yyyy)
*
School
*
Grade
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Religious Denomination
*
Baptism
*
Yes
No
1st Communion
*
Yes
No
Confirmation
*
Yes
No
Child #6
Child #6 Name
*
First
Last
Gender
*
Male
Female
Date of Birth (mm/dd/yyyy)
*
School
*
Religious Denomination
*
Grade
*
Pre-School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
College
None
Baptism
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Yes
No
1st Communion
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Yes
No
Confirmation
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Yes
No
Volunteer Opportunities
Would you be interested in volunteering?
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Yes
No
If "Yes," please check those area(s) in which you would be interested in volunteering...
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Charity & Outreach
Eucharistic Adoration
Adult Faith Formation
Youth Faith Formation
Fellowship / Social
Liturgical (roles at Mass)
Music
Respect Life
Not Sure (match my interests with a volunteer/ministry need)
If you select any options above, you are not committing to volunteer at this time, but we would like to contact you with information that might interest you.
Please list any other areas in which you are interested in volunteering...
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Please list any special skills/talents and the name of the family member whom you are describing...
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Help Us Help You
What would you like more information about? Please check all that apply.
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Religious Education Programs
High School Youth Ministry
Youth Adult Programs
St. Peter School
Adult Education Programs
Sacramental Preparation
Assistance from our Community Food Pantry
Additional Comments?
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Family Photo
If you have a family photo that you would like to share with us, please upload it below in a .JPG or .PNG format.
Upload File
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Max file size: 20MB
Meet & Greet
In order to finalize your registration, you would normally select a Meet & Greet session. However, these sessions are on hold until further notice. To finish and submit, please click the option below. Be well and keep the faith!
*
I/We will be sure to contact the parish office with any questions as new parishioners :)
Submit
Home
About
MASS
Ministries
All Ministries
Adult Formation
Religious Education
Youth Ministry
>
High School Youth Ministry
>
Online Bible Study
Junior High Youth Ministry
Young Adult Ministry
Give
Online Giving
Capital Campaign
School
Bulletin
Contact
