Register – San Pedro Catholic Church

Register at San Pedro

If you are interested in joining the San Pedro family please fill our this form, and we will contact you so you can begin this wonderful journey.

Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
How did you hear about us?*
- Mailer
- Online Search
- Word of Mouth
- Other
Do you live in South West Florida full time?*
- Yes
- No
Second Address
Street Address City State / Province / Region ZIP / Postal Code Country
Second Address Home Phone
Months at Second Address
Home Phone*
Please fill out the following information about YOURSELF
First Name*
Middle Name*
Maiden Name (if applicable)
Cell Phone
Email*
Gender*
- Male
- Female
Date of Birth*
Baptized in the Catholic Church?*
- Yes
- No
If not, what religion is practiced?
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Marital Status*
- Single
- Married
- Widowed
- Divorced
Married by a Priest
- Yes
- No
Marriage Date
Occupation / Own Business
Giving Preferences*
- I'm interested in online giving
- I would like envelopes mailed to me
- None
Please fill out the following information about your SPOUSE / OTHER ADULT.
First Name
Middle Name
Last Name
Maiden Name (if applicable)
Relationship
Cell Phone
Email
Gender
- Male
- Female
Date of Birth
Baptized in the Catholic Church?
- Yes
- No
If not, what religion is practiced?
Eucharist
- Yes
- No
Confirmed
- Yes
- No
Occupation / Own Business
Do you have any children living at home under the age of 21?*
- Yes
- No
Information on Child #1
Name*
First Last
Middle Name
Relationship*
- Child
- Grandchild
- Foster Child
- Other
Date of Birth*
Gender*
- Male
- Female
Baptized in the Catholic Church?*
- Yes
- No
If not, what religion is practiced?
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have another child under the age of 21?*
- Yes
- No
Information on Child #2
Name*
First Last
Middle Name
Gender*
- Male
- Female
Relationship*
- Child
- Grandchild
- Foster Child
- Other
Date of Birth*
Baptized in the Catholic Church?*
- Yes
- No
If not, what religion is practiced?
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have another child under the age of 21?*
- Yes
- No
Information on Child #3
Name*
First Last
Middle Name
Gender*
- Male
- Female
Relationship*
- Child
- Grandchild
- Foster Child
- Other
Date of Birth*
Baptized in the Catholic Church?*
- Yes
- No
If not, what religion is practiced?
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have another child under the Age of 21?*
- Yes
- No
Information on Child #4
Name*
First Last
Middle Name
Gender*
- Male
- Female
Relationship*
- Child
- Grandchild
- Foster Child
- Other
Date of Birth*
Baptized in the Catholic Church?*
- Yes
- No
If not, what religion is practiced?
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Other Children
Please enter the name and date of birth of other children under the age of 21.
Emergency Contact (other than spouse)*
First Last
Emergency Contact Phone Number*
Relationship*

Thinking about becoming Catholic?

It might seem a little overwhelming, but we’ll walk you through it. You may be wondering:

Where to start?
Why so many “stages” of initiation?
What should I be doing in each stage?
How will I know when I’m ready to move forward?

Get in touch with us and we’ll walk you through it. Coming out the other side is glorious!

Register at San Pedro

Please fill out the following information about YOURSELF

Please fill out the following information about your SPOUSE / OTHER ADULT.

Information on Child #1

Information on Child #2

Information on Child #3

Information on Child #4

Thinking about becoming Catholic?

Contact Us Directly