New Parishioner Form Family Last Name(Required) Email(Required) Phone(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please select all that apply My marriage was 'outside the church' and I am interested in having it validated. I am interested in information about marriage annulment. Someone in my household is homebound and would like to receive communion. I would like information on becoming Catholic. There is an adult in my household interested in receiving First Communion and/or Confirmation (RCIA). I would like information about the various ministries at St. Cassian's available to me. Family MembersFirst Name Last Name Date of Birth MM slash DD slash YYYY Gender Male Female Marital Status Single Married Widowed Divorced Religion Sacraments Recieved Baptism First Communion Confirmation Add Family MemberRemove Family MemberNameThis field is for validation purposes and should be left unchanged.