Parish Registration

We sincerely hope you feel at home here and want to make St. John the Evangelist YOUR parish. Fill out our parish registration form below or call the parish office at 410-964-1425.

Today's Date*
MM slash DD slash YYYY
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Contribution Envelopes
- Yes
- No
Electronic Debit
- Yes
- No
"Catholic Review" magazine
- Home delivery
- Pick up in lobby
Household Information
Marital Status*
- Married
- Single
- Widowed
- Divorced
Married by priest/deacon?
- Yes
- No
Wedding Date
MM slash DD slash YYYY
Wedding Church/City, State
Male Head of Household / Husband
Name
First Last
Date of Birth
MM slash DD slash YYYY
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Catholic?
- Yes
- No
Occupation
Cell Phone
Email
Ministry I would like to be involved in: (Please call me)
Female Head of Household / Wife
Name (Include Maiden Last Name)
First Last
Date of Birth
MM slash DD slash YYYY
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Catholic?
- Yes
- No
Occupation
Cell Phone
Email
Ministry I would like to be involved in: (Please call me)
Children in Household
Please complete for each individual child and send an email to Cynthia.Herrera@sjerc.org if more than four children need to be enrolled.
Name Child #1
First Last
Date of Birth
MM slash DD slash YYYY
Sex
- Male
- Female
Special Needs
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Date of Baptism
Date of Reconciliation
Date of First Eucharist
Date of Confirmation
Catholic?
- Yes
- No
Name of Child #2
First Last
Date of Birth
MM slash DD slash YYYY
Sex
- Male
- Female
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Date of Baptism
Date of Reconciliation
Date of First Eucharist
Date of Confirmation
Catholic?
- Yes
- No
Name of Child #3
First Last
Date of Birth
MM slash DD slash YYYY
Sex
- Male
- Female
Special Needs
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Date of Baptism
Date of Reconciliation
Date of First Eucharist
Date of Confirmation
Catholic?
- Yes
- No
Name of Child #4
First Last
Date of Birth
MM slash DD slash YYYY
Sex
- Male
- Female
Special Needs
Check if Sacrament received:
- Baptism
- Reconciliation
- First Eucharist
- Confirmation
Date of Baptism
Date of Reconciliation
Date of First Eucharist
Date of Confirmation
Catholic?
- Yes
- No

Locations

Wilde Lake Interfaith Center
10431 Twin Rivers Road
Columbia, MD 21044

Oakland Mills Interfaith Center
5885 Robert Oliver Place
Columbia, MD 21045

Contact

phone: 410-964-1425
fax: 410-730-9253
emergency: 240-400-0339

Household Information

Male Head of Household / Husband

Female Head of Household / Wife

Children in Household