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.

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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.

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Catholic Community of Waukesha

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