New Parishioner Registration

Welcome to the St. John Chrysostom family! We are grateful that you have chosen us as your parish family and hope you feel at home here.

Please note: St. John's welcomes all members of your household, regardless of religious affiliation, relationship, or marital status. Therefore, please include all household members on your registration form, so that we can serve you better.

Note to Parents: If you want to register your child for our Parish Religious Education Program, please do so here: http://bit.ly/PREP_Registration. Although parish registration is a prerequisite for our Religious Education program, separate registration is required for PREP.

For any questions about our Religious Education program, please contact Patty Briganti, Coordinator of Religious Education. For any questions about the parish, please contact Mary Chollet, director of ministry and communications.

We look forward to welcoming you!

Today's Date REQUIRED Please fill out this field. Please enter a date.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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.

Number of Adults to be Registered REQUIRED Please fill out this field.
Adult 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.
- Nickname Please enter valid data.
- Maiden Name Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Roman Catholic Catholic - Eastern Rite Jewish Lutheran Methodist Muslim Presbyterian Quaker (Friends) No Affiliation Other Faith Not Listed Please fill out this field.
- Sunday Mass Attendance REQUIRED Yes No Please fill out this field.
- Sacraments Received REQUIRED Baptism Reconciliation (Penance) First Communion Confirmation None Not Applicable (Other Faith) Please fill out this field.
- If you missed any Sacraments, are you interested in receiving them? Yes No
- Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
- Marriage Date and Church or Location
- If you were not married in a Catholic Church, are you interested in having your marriage blessed by a priest? Yes No
- If you are divorced, are you interested in learning about the annulment process? Yes No
Adult 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.
- Nickname Please enter valid data.
- Maiden Name Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Roman Catholic Catholic - Eastern Rite Jewish Lutheran Methodist Muslim Presbyterian Quaker (Friends) No Affiliation Other Faith Not Listed Please fill out this field.
- Sunday Mass Attendance REQUIRED Yes No Please fill out this field.
- Sacraments Received REQUIRED Baptism Reconciliation (Penance) First Communion Confirmation None Not Applicable (Other Faith) Please fill out this field.
- If you missed any Sacraments, are you interested in receiving them? Yes No
- Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
- Marriage Date and Church or Location
- If you were not married in a Catholic Church, are you interested in having your marriage blessed by a priest? Yes No
- If you are divorced, are you interested in learning about the annulment process? Yes No
Adult 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.
- Nickname Please enter valid data.
- Maiden Name Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Roman Catholic Catholic - Eastern Rite Jewish Lutheran Methodist Muslim Presbyterian Quaker (Friends) No Affiliation Other Faith Not Listed Please fill out this field.
- Sunday Mass Attendance REQUIRED Yes No Please fill out this field.
- Sacraments Received REQUIRED Baptism Reconciliation (Penance) First Communion Confirmation None Not Applicable (Other Faith) Please fill out this field.
- If you missed any Sacraments, are you interested in receiving them? Yes No
- Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
- Marriage Date and Church or Location
- If you were not married in a Catholic Church, are you interested in having your marriage blessed by a priest? Yes No
- If you are divorced, are you interested in learning about the annulment process? Yes No

Please note any special needs or concerns. REQUIRED Please fill out this field. Please enter valid data.

St. John Chrysostom

Catholic Church - Wallingford, PA

New Parishioner Registration

St. John Chrysostom Parish