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Home » New Members » New Member Registration Form

New Member Registration Form

Welcome! We are eager to get to know you!

Step 1 of 4 - Head of Household

25%

Do we have your permission to include names in parish bulletin which is posted on our website?(Required)

yes

no

Would you like to receive contribution envelopes?(Required)

yes

no

Information for Head of Household or Single Parishioner

Family (Last) name(Required)

Address(Required)

Street Address City State ZIP Code

Head of Household - FIrst Name(Required)

First

Middle & Maiden Name (if applicable)

Middle Maiden name, if applicable

Goes by / nickname

Preferred title/suffix(Required)

Mr. Mrs. Ms. Miss. Dr. Jr. Sr. Other

Date of birth (Month/date/year)(Required)

Home/family phone

Type(Required)

Home

Cell

Office

Preferred phone

Type(Required)

Home

Cell

Office

Alternate phone

Type

Home

Cell

Office

Email address(Required)

Preferred method of contact

Call

Text

Email

Occupation (optional)

Religion

If not catholic, do you wish to be listed on parish mailings?

Yes

No

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Spouse (items may be left blank if they are the same)

Spouse: (Last name, if different)

Name

First Middle Maiden name, if applicable

Goes by / nickname

Preferred title/suffix

Mr. Mrs. Ms. Miss. Dr. Jr. Sr. Other

Date of birth (Month/date/year)

Preferred phone

Type

Home

Cell

Office

Alternate phone

Type

Home

Cell

Office

Email address

Preferred method of contact

Call

Text

Email

Occupation (optional)

Religion

If not catholic, do you wish to be listed on parish mailings?

Yes

No

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Marital status

Married

Widowed

Divorced

Separated

Single

If married, date of marriage and parish (name and location)

Previous parish (name and location)

Children living at home

Include only children living at home or supported by the family (college students, etc.). Any other adults residing in your home should complete a separate registration form.

Child 1 Name

First Middle Last

Goes by / nickname

Date of birth (Month/date/year)

Gender

Male

Female

School

Grade

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Child 2 Name

First Middle Last

Goes by / nickname

Gender

Male

Female

Date of birth (Month/date/year)

School

Grade

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Child 3 Name

First Middle Last

Goes by / nickname

Gender

Male

Female

Date of birth (Month/date/year)

Grade

School

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Child 4 Name

First Middle Last

Goes by / nickname

Gender

Male

Female

Date of birth (Month/date/year)

Grade

School

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Child 5 Name

First Middle Last

Goes by / nickname

Gender

Male

Female

Date of birth (Month/date/year)

Grade

School

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

Child 6 Name

First Middle Last

Goes by / nickname

Gender

Male

Female

Date of birth (Month/date/year)

Grade

School

Sacraments Received:

Baptism

Yes

No

Baptism Location

If yes, church and location

First Eucharist

Yes

No

Confirmation

Yes

No

PARISH OFFICE

Saint Francis Borgia Catholic Church
1375 Covered Bridge Road
Cedarburg, WI 53012

Phone: (262) 377-1070
Fax: (262) 377-6898
Email the parish office

SCHOOL OFFICE

Saint Francis Borgia Catholic School
1425 Covered Bridge Rd.
Cedarburg, WI 53012

Phone: (262) 377-2050
Fax: (262) 377-4099
Email the school office

ABOUT OUR CHURCH

St. Francis Borgia Catholic Church is part of the Archdiocese of Milwaukee. We are a large, active faith community with a mission to:

LOCATIONS
North Church: 1375 Covered Bridge Road, Cedarburg
South Church: N44 W6055 Hamilton Road, Cedarburg

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MASS TIMES

All held at North Church unless noted

Saturday 4:30 PM
Sunday 8:00 AM | 10:00 AM | 6:00 PM
Monday & Saturday 8:00 AM
Tuesday-Friday 7:00 AM

Click here to find another local Mass

CONFESSIONS

All held at North Church

Sunday 9:15–9:45 AM
Monday-Friday 11–11:30 AM
Monday 3:30-4 PM
Thursday 5-6 PM

ADORATION

24×7 (North Church Hall Classroom A)
The east doors to the North Church are open to the public from 7 a.m. to 9 p.m. every day.

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