Family Registration Form
Welcome to the Catholic Community of Waukesha represented by the four parishes: St. John Neumann,
 St. Joseph, St. Mary and St. William. Visit our web site at www.ccwauk.org for more information.
 Please make sure to select the parish you are registering for using the "Parish" keyword selection field.
Click Submit Form to send this information to Catholic Community of Waukesha.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
*Ethnicity *Birth Date
*Gender *Grade/Degree
*Language *Marital Status
*Religion
*Occupation
*Parish
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
Gender Grade/Degree
  Language Marital Status
  Religion
  Occupation
  Parish
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible
Additional Family Member Type
  Title
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
Gender Grade/Degree
  Language Marital Status
  Religion
  Occupation
  Parish
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Click Submit Form to send this information to Catholic Community of Waukesha.
Catholic Community of Waukesha