Become a Member & Parish Census

To register with one of the parishes of the Superior Cluster, please fill out the form below or Contact Us to request a paper copy of the form.

Parish Registration Form Superior

"*" indicates required fields

Step 1 of 12

Household Information

Family Last Name*

Surname

Parish Registering For*

Cathedral of Christ the King

St. Williams

Holy Assumption

St. Anthony

St. Anthony – Lake Nebagamon

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Primary Phone*

Number of Children Living at Home?*

Please enter a number from 0 to 11.

List number of children under 18

Head of Household Information

Head of Household Name*

First Last

Marital Status*

Single

Married

Divorced

Separated

Widowed

Race*

Black/African American

Native American/Alaskan Native

Asian

Hispanic

White

Other

Used for Grant Purposes

Date of Birth*

Month

Day

Year

Cell Phone if different from Primary Phone

Email*

Employer*

Occupation*

Religion*

Catholic

Assembly of God

Baptist

Congregational

Episcopalian

Four Square Gospel

Fundamentalist

Jehovah Witness

Jewish

Lutheran

Methodist

Mormon

Orthodox

Pentecostal

Presbyterian

Seventh Day Adventist

No religious affiliation

Other

Please choose one

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Matrimony

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Spouse

Spouse Name*

First Last

Date of Birth*

Month

Day

Year

Race*

Black/African American

Native American/Alaskan Native

Asian

Hispanic

White

Other

Used for Grant Purposes

Cell Phone*

Email*

Employer*

Occupation*

Religion*

Catholic

Assembly of God

Baptist

Congregational

Episcopalian

Four Square Gospel

Fundamentalist

Jehovah Witness

Jewish

Lutheran

Methodist

Mormon

Orthodox

Pentecostal

Presbyterian

Seventh Day Adventist

No religious affiliation

Other

Please choose one

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Matrimony

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 1 Information

Child 1 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 2 Information

Child 2 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 3 Information

Child 3 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 4 Information

Child 4 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 5 Information

Child 5 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 6 Information

Child 6 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 7 Information

Child 7 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 8 Information

Child 8 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 9 Information

Child 9 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

Child 10 Information

Child 10 Name*

First Last

Date of Birth*

Month

Day

Year

Sacramental Record

Baptism

First Confession

First Communion

Confirmation

Please choose all that apply

Highest Level of Education Completed

e.g. Senior Year High School = 12. Allow 1 extra grade for each year of school after High School

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