Parish Registration

Family Information

Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Home Phone REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
Street Address (cont.) 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.
Former Parish REQUIRED Please fill out this field. Please enter valid data.

How many adults are you registering? 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.
- Gender Male Female
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field.
- Relation to Family REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Have you received sacraments? (Check all that apply) No Baptism (St. Kateri/St. Helen/Our Lady of Fatima) Baptism (another parish) 1st Reconciliation (St. Kateri/St. Helen/Our Lady of Fatima) 1st Reconciliation (another parish) 1st Eucharist (St. Kateri/St. Helen/Our Lady of Fatima) 1st Eucharist (another parish) Confirmation (St. Kateri/St. Helen/Our Lady of Fatima) Confirmation (another parish) Marriage (St. Kateri/St. Helen/Our Lady of Fatima) Marriage (another parish) Marriage (via Justice of the Peace/other minister) Holy Orders
- Address (if different from above)
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Special Needs/ADA Needs/Allergies? REQUIRED Please fill out this field.
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.
- Gender Male Female
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field.
- Relation to Family REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Have you received sacraments? (Check all that apply) No Baptism (St. Kateri/St. Helen/Our Lady of Fatima) Baptism (another parish) 1st Reconciliation (St. Kateri/St. Helen/Our Lady of Fatima) 1st Reconciliation (another parish) 1st Eucharist (St. Kateri/St. Helen/Our Lady of Fatima) 1st Eucharist (another parish) Confirmation (St. Kateri/St. Helen/Our Lady of Fatima) Confirmation (another parish) Marriage (St. Kateri/St. Helen/Our Lady of Fatima) Marriage (another parish) Marriage (via Justice of the Peace/other minister) Holy Orders
- Address (if different from above)
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Special Needs/ADA Needs/Allergies? REQUIRED Please fill out this field.
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.
- Gender Male Female
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field.
- Relation to Family REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Have you received sacraments? (Check all that apply) No Baptism (St. Kateri/St. Helen/Our Lady of Fatima) Baptism (another parish) 1st Reconciliation (St. Kateri/St. Helen/Our Lady of Fatima) 1st Reconciliation (another parish) 1st Eucharist (St. Kateri/St. Helen/Our Lady of Fatima) 1st Eucharist (another parish) Confirmation (St. Kateri/St. Helen/Our Lady of Fatima) Confirmation (another parish) Marriage (St. Kateri/St. Helen/Our Lady of Fatima) Marriage (another parish) Marriage (via Justice of the Peace/other minister) Holy Orders
- Address (if different from above)
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Special Needs/ADA Needs/Allergies? REQUIRED Please fill out this field.

Are there any adults in your family who are homebound or living in a nursing home/assisted living facility? REQUIRED Please fill out this field.
Homebound/Nursing Facility Adult 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Relationship Please enter valid data.
- Address
- Phone Number Please enter a phone number.
- Would they like a visit and/or to receive Eucharist?
Homebound/Nursing Facility Adult 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Relationship Please enter valid data.
- Address
- Phone Number Please enter a phone number.
- Would they like a visit and/or to receive Eucharist?

Would you like to subscribe ($18.00/yr) to The Evangelist, the newspaper of the Diocese of Albany? REQUIRED Please fill out this field.

How would you like to offer a financial contribution to the parish? E-Giving (We will send you an authorization form.) Weekly envelopes

Photo Release

I grant permission to St. Kateri Tekakwitha parish and its designated representatives to take photos and video of my family [including my child(ren)] for use in parish publications, parish website and social media. REQUIRED Yes No Please fill out this field.

Permissions/Acknowledgements

I understand I must disclose any allergies and/or ADA needs or special needs the staff and volunteers need to know to provide proper care, attention, and adjustments for the well-being of my child(ren) while in their care. I accept full responsibility for any injuries/penalties/deaths that may result if I do not properly disclose this information to the St. Kateri staff and its designated volunteers.
I Agree Please select this field.

Saint Kateri Tekakwitha Parish

2216 Rosa Road || Schenectady, NY || 1803 Union Street

Parish Registration

We welcome all to our community and rejoice at the opportunity to add new families!