4-Aug-10

REGISTRATION Family Name

ST. FRANCIS XAVIER PARISH Address
331 Plaunt St. S. Renfrew, Ontario K7V 4A6
Telephone (613)-432-5825 Fax (613)-432-6663
Email sfx.parish@on.aibn.com Website www.sfxrenfrew.blogspot.com Postal Code Tel. (Home)
E-Mail Tel. (Bus.)
CHURCH Where applicable, please
HOUSEHOLD c c c ATTENDANCE MARITAL STATUS & INFORMATION
indicate:

1st Communion
SINGLE OR FAMILY c
Married Separated

Date of Birth
- religion if not R.C.

Easter Duty
c
INFORMATION c c

Confirma-
- school attending

Baptism

Occasional
Regular
Single Divorced

Never
- disabled/shut–in
- language spoken in home
- occupation
Widow(er) Other
Mr.

Miss
Date of Marriage:
Ms.
Mrs. Church:
(Maiden Name)
Place:
CHILDREN: (dependent at home/school)

ENVELOPES REQUESTED Yes No

AUTOMATIC DEBIT REQUESTED Yes No

PASTORAL VISIT REQUESTED Yes No

PRESENT DATE:

1. List two things you like about St. Francis Xavier Parish.

2. List two areas of improvement you would like to see in our Parish.
 I AM INTERESTED IN SERVING THE CHURCH IN THE FOLLOWING WAYS:

(Please put a check (c) in the areas of your choice.)

Minister of the Eucharist Rite of Christian Initiation of Catholics

Assist in preparation for:
Lector/Commentator - Baptism
Hospitality Minister - First Reconciliation/ First Communion

Mass Server (Weekend - Children) - Confirmation

Mass Server (Weekday - Adult)

Children’s Liturgy Helper Parish Volunteer Activities

Social Justice - Secretarial
Parish Visitor - Driving

- Computer

- Neighbourhood Area Leader

I am willing to help the Parish in the following way:
I would like to be a member of:
Name your skill:
Other voluntary works
Catholic Women’s League
Visits to Nursing Homes or Shut-Ins
I am willing to pray at home or join others in prayer for the needs of the Parish and the
whole church. - Other Area of Ministry
( )
I WOULD LIKE TO BENEFIT FROM THE FOLLOWING SERVICES:
Retreats A bulletin mailed to me as I Social/Recreational Activities
Adult Ed. (Faith –growth) cannot attend Mass Catholic Library of Books/Tapes
ARE YOU INTERESTED IN: Update of Faith R.C.I.A. Convert Instruction