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Parish Registration

Thank you for you interest in joining Holy Redeemer Parish! We are excited to welcome you home to our Church. Please complete the form below to register your family as a part of our Catholic community.

Step 1 of 2

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Family Information

Family Last Name:(Required)

Family Email Address:(Required)

Primary Phone:(Required)

Home Address(Required)

Street Address City State ZIP Code

College Student

College Attending:

Year of Completion:

Emergency Contact Person:

Relationship:

Phone Number:

Marital Status:(Required)

Date of Marriage:

Month

Day

Year

Place/Church:

Previous Parish:

Number of Children

Head of Household

Name(Required)

Prefix First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Occupation:

Place of Employment:

Work Phone:

Cell Phone:

Any special needs for member here:

Member Email:

Spouse Information

Name(Required)

Prefix First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Occupation:

Place of Employment:

Work Phone:

Cell Phone:

Any special needs for member here:

Member Email:

Persons under 18 (Oldest to Youngest)

First Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Second Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Third Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Fourth Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Fifth Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Sixth Person under 18:

Name(Required)

First & Middle Goes By Name Last Maiden (If Applicable)

Date of Birth:(Required)

Month

Day

Year

Gender(Required)

Male

Female

Religion (if other than Catholic):

Baptized:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Communion:(Required)

Yes

No

Date:

Month

Day

Year

Church:

Confirmed:(Required)

Yes

No

Date:

Month

Day

Year

Church:

School Attending:

Current Grade:

List any special needs for child here:

Additional Information

Any additional information you'd like to add?

Comments

This field is for validation purposes and should be left unchanged.

Quick Links

Diocese of Grand Rapids
Bulletins
Parish Ministry Schedule
Holy Redeemer Mass Times
Daily Readings on USCCB
Mass Times in United States

Address

2700 Baldwin St., Jenison, MI 49428

Contact Info

Phone: 616.669.9220

[email protected]

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