Sacred Heart Church Parishioner Registration Form

Sexual Abuse Hotline

43-775 Deep Canyon Road at Fred Waring Drive, Palm Desert, CA 92260

Parishioner Registration Form

Family Information
Family Name:
Address:
City: State: Zip:
Home Phone: Business Phone:
Email: Send Church Envelopes? Yes No
Where is your home located? (Name of Country Club/Cross Streets/Development/Etc.)
Husband Information
Name: Date of Birth: xx/xx/xxxx
Religious Affiliation:
Baptized? First Communion? Confirmation?
Wife Information
Name: Date of Birth: xx/xx/xxxx
Religious Affiliation:
Baptized? First Communion? Confirmation?
Were you married by a priest?
How many children do you have?