St. Elizabeth Ann Seton Catholic Church/New Member Registration/Plano, TX

Please Note: After completing the Family Member information, scroll down to the “Former Parish” section at the bottom. Answer the remaining questions, then submit the form.

Household Information

Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Head Last Name REQUIRED Please fill out this field. Please enter valid data.
Head First Name REQUIRED Please fill out this field. Please enter valid data.
Spouse Last Name Please enter valid data.
Spouse First Name Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
Address Line 2 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.
Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Phone Number is: Home Cell Work Unlisted
Other Phone Number Maximum 20 characters Please enter a phone number.
Phone Number is: Home Cell Work Unlisted
Preferred Family Email Please enter an email address.
May we add you to the Parish Email List?
Please consider joining the Parish email list. We use it to let you know of weather closings, important events coming up, holiday mass schedules, etc. Your information is intended for parish use only. You may opt out at any time.
Yes No

When did you begin attending St Elizabeth Ann Seton? Please enter valid data.

Giving Preference

Head of Household 1

Head of Household 2

Children Living at Home

If child is married or over the age of 21 please register separately. If child is away at college they can be considered 'living at home'.

Child 1

Full Legal First Name Please enter valid data.
Full Legal Middle Name Please enter valid data.
Nickname (if applicable)
Other names known by, ex. "Bill" for William
Please enter valid data.
Does Child 1 have a different Last Name than Household Last Name? Please enter valid data.
Gender Male Female
Religion Please enter valid data.
Date of Birth
month/day/year in the form of 00/00/0000
Please enter valid data.
Sacraments (check all that apply) Baptism First Eucharist Confirmation

Child 2

Full Legal First Name Please enter valid data.
Full Legal Middle Name Please enter valid data.
Nickname (if applicable)
Other names known by, ex. "Bill" for William
Please enter valid data.
Does Child 2 have a different Last Name than Household Last Name? Please enter valid data.
Gender Male Female
Religion Please enter valid data.
Date of Birth
month/day/year in the form of 00/00/0000
Please enter valid data.
Sacraments (check all that apply) Baptism First Eucharist Confirmation

Child 3

Full Legal First Name Please enter valid data.
Full Legal Middle Name Please enter valid data.
Nickname (if applicable)
Other names known by, ex. "Bill" for William
Please enter valid data.
Does Child 3 have a different Last Name than Household Last Name? Please enter valid data.
Gender Male Female
Religion Please enter valid data.
Date of Birth
month/day/year in the form of 00/00/0000
Please enter valid data.
Sacraments (check all that apply) Baptism First Eucharist Confirmation

Child 4

Full Legal First Name Please enter valid data.
Full Legal Middle Name Please enter valid data.
Nickname (if applicable)
Other names known by, ex. "Bill" for William
Please enter valid data.
Does Child 4 have a different Last Name than Household Last Name? Please enter valid data.
Gender Male Female
Religion Please enter valid data.
Date of Birth
month/day/year in the form of 00/00/0000
Please enter valid data.
Sacraments (check all that apply) Baptism First Eucharist Confirmation

Former Parish Information - if applicable

Where you registered in another parish REQUIRED Yes, my former parish information is listed below. No, I have never formally registered in another parish. Please fill out this field.
Former Parish Name Please enter valid data.
Street Address 1 Please enter valid data.
Street Address 2 Please enter valid data.
City Please enter valid data.
State Please enter valid data.
Zipcode Please enter valid data.
email/website Please enter valid data.
Have you notified them that you have moved? Yes No

Questions and Comments

We would like to get to know you better. We will be glad to answer any questions you might have about the Parish or on being Catholic
Any ministry interests, questions, or concern? Please note for which family member(s)