Parish Registration

Head of Household

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Marital Status

Date Married (If applicable) Please enter valid data.

Church were Married (If applicable) Please enter valid data.

Officiated by (If applicable) Please enter valid data.

Religion Please enter valid data.

Baptized YES NO

Location Please enter valid data.

1st Communion YES NO

Location Please enter valid data.

Confirmation YES NO

Location Please enter valid data.

Place of Employment REQUIRED Please fill out this field. Please enter valid data.

Occupation REQUIRED Please fill out this field. Please enter valid data.

Spouse Info (if applicable)

First Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Email Please enter an email address.

Cell Phone Number Please enter a phone number.

Religion Please enter valid data.

Baptized YES NO

Location Please enter valid data.

1st Communion YES NO

Location Please enter valid data.

Confirmation YES NO

Location Please enter valid data.

Place of Employment Please enter valid data.

Occupation Please enter valid data.

General Information

Previous Parish REQUIRED Please fill out this field. Please enter valid data.

Landline (Phone) Number (if applicable) Please enter a phone number.

Is there a specific ministry of area of service you would like more information?

Ministries can be found online at saintsimon.org

Is there a specific way St. Simon could assist you on your spiritual journey?

What are your most significant God Given talents? Please enter valid data.

Would you like to receive the Criterion (Archdiocese Catholic Newspaper? YES NO

How did you find St. Simon the Apostle Catholic Church REQUIRED Please fill out this field. Please enter valid data.

Would you like more information about RCIA (Rite of Christian Initiation), a parish program that introduces you to aspects of Catholic beliefs and practices? YES Not at this time

Sacramental Information (children under 18):
Please list all children in your household along with which sacraments they have completed and if known date/parish.

Children REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.
Child 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Date of Birth Please enter valid data.
- Current Grade Please enter valid data.
- Name of School Please enter valid data.
- Baptism Date and Parish
  If know, please provide baptism date and Parish Location
  Please enter valid data.
- First Communion Date and Parish
  If know, please provide First Communion date and Parish Location
  Please enter valid data.
- Confirmation Date and Parish
  If know, please provide Confirmation date and Parish Location
  Please enter valid data.

Would you like more information about our Religious Education Program for Pre K - 8th-grade? (Faith Formation)? Yes Not at this time

Would you like more information about our School Ministry (Pre K-8th grade) Yes Not at this time

Would you like more information about our high school youth program (Life Teen). Yes Not at this time

Your email and cell phone information will be added to our Flocknote Communication platform. Flocknote is the communication tool that the parish uses to keep you up-to-date on everything that happens at St. Simon. You have full control of what updates and how you receive those updates by logging into your account. You can also follow different parish ministries on Flocknote for specific ministry updates.

Please give us 3-5 business days to set-up your account. To access your account you will use the e-mail address provided and click "I forgot my password." An e-mail will be sent to you to set-up a new password. If you have any questions about Flocknote please contact the parish office at 317.826.6000.

Saint Simon the Apostle

A Community of Prayer, Praise and Worship

Parish Registration

The Catholic Community of Saint Simon the Apostle