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Parish Registration

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Become part of our parish family! Register with Immaculate Conception Parish to receive updates, participate in ministries, and grow in faith within our welcoming community.

"*" indicates required fields

Family Last Name*

Last

Primary Household Contact Name*

First Last

Primary Contact Email*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Street Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Contact Phone*

Is your phone number listed?*

Yes

No

How long have you lived at this address?*

Number of Children living at home:*

Husband / Single Male

Name

First Middle

Last Name (if different)

Last

Marital Status

Religion

Birth Date

MM slash DD slash YYYY

Occupation

Employer

Grade/Education Level

Disability

PLEASE INDICATE THE SACRAMENTS YOU HAVE RECEIVED IN THE CATHOLIC CHURCH ONLY

Have you received the Sacrament of Baptism?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Penance and 1st Communion?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Confirmation?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Marriage?

Yes

No

Please List The Church where the Sacrament was celebrated

**IF PRIOR MARRIAGE(S), OR CIVIL MARRIAGE APPLIES, PLEASE STATE HOW EACH CEREMONY WAS PERFORMED. (Ex. 1st: Catholic, 2nd: Civil)

Wife / Single Female

Name

First Middle

Last Name (if different)

Last

Maiden Name

Last

Marital Status

Religion

Birth Date

MM slash DD slash YYYY

Occupation

Employer

Grade/Education Level

Disability

PLEASE INDICATE THE SACRAMENTS YOU HAVE RECEIVED IN THE CATHOLIC CHURCH ONLY

Have you received the Sacrament of Baptism?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Penance and 1st Communion?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Confirmation?

Yes

No

Please List The Church where the Sacrament was celebrated

Have you received the Sacrament of Marriage?

Yes

No

Please List The Church where the Sacrament was celebrated

**IF PRIOR MARRIAGE(S), OR CIVIL MARRIAGE APPLIES, PLEASE STATE HOW EACH CEREMONY WAS PERFORMED. (Ex. 1st: Catholic, 2nd: Civil)

PLEASE LIST CHILDREN LIVING AT HOME

Name

First Middle Last

Gender

Male

Female

Birth Date

MM slash DD slash YYYY

School Name

Grade Level

Disability

Sacraments Celebrated

Baptism

Communion

Confirmation

If possible, list dates and Parish where Sacrament took place.

Would you like to add a second child?

Yes

No

Name

First Middle Last

Gender

Male

Female

Birth Date

MM slash DD slash YYYY

School Name

Grade Level

Disability

Sacraments Celebrated

Baptism

Communion

Confirmation

If possible, list dates and Parish where Sacrament took place.

Would you like to add a third child?

Yes

No

Name

First Middle Last

Gender

Male

Female

Birth Date

MM slash DD slash YYYY

School Name

Grade Level

Disability

Sacraments Celebrated

Baptism

Communion

Confirmation

If possible, list dates and Parish where Sacrament took place.

Would you like to add a fourth child?

Yes

No

Name

First Middle Last

Gender

Male

Female

Birth Date

MM slash DD slash YYYY

School Name

Grade Level

Disability

Sacraments Celebrated

Baptism

Communion

Confirmation

If possible, list dates and Parish where Sacrament took place.

Would you like to add a fifth child?

Yes

No

Name

First Middle Last

Gender

Male

Female

Birth Date

MM slash DD slash YYYY

School Name

Grade Level

Disability

Sacraments Celebrated

Baptism

Communion

Confirmation

If possible, list dates and Parish where Sacrament took place.

OTHER PEOPLE LIVING IN HOUSEHOLD (PLEASE STATE RELATIONSHIP, BIRTH DATE, AND SACRAMENTAL INFORMATION)

PLEASE INDICATE ANY PRIOR MINISTRY OR PARISH INVOLVEMENT, OR ANY INTEREST YOU MAY HAVE IN JOINING OUR MINISTRIES:

WELCOME TO WHEAT SCATTERED & SOWN FAMILY OF PARISHES!

WHEAT Scattered and Sown:

W - West Falls, St. George
H - Holland, St. Joseph
E - Elma, Annunciation and St. Vincent
A - Aurora, Immaculate Conception
T - Together

If you would like to get involved in any of our parish ministries, or are looking for service opportunities, please click on “Get Involved” at the top of this page to see our ministries and opportunities. Our efforts help food pantries, soup kitchens, and people in need.

View Our Family of Parishes

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Immaculate Conception Parish
520 Oakwood Avenue
East Aurora, NY 14052

Phone
716.652.6400

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