St. Susanna Parish Registration Form

All are welcome at St. Susanna Catholic Church! We are a service oriented parish with ministries for all ages, children through seniors. We encourage all parishioners to get involved.

Please complete the St. Susanna Parish Registration form, this will allow us to welcome you formally to the parish as well as to keep your families up to date on the events happening at St. Susanna Church. If a question on the form does not apply to you or your family, please enter NA.

If you have questions regarding the information we are gathering please contact the parish office at 317-839-3333 or email: joneill@saintsusanna.com

1Family Information > 2Additional Household Information (if applicable)
Family Information
Last Name of Family *
Family Address Family Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Adult Family Member #1 Adult Family Member #1 * First Last
Adult Family Member #1 - Phone Number: Adult Family Member #1 - Phone Number: * - ### - ### ####
Adult Family Member #1- Email: *
Adult Family Member #1- Birthday: Adult Family Member #1- Birthday: * / MM / DD YYYY
Adult Family Member #1- Occupation:
Adult Family Member #1-Religion:
Have you been baptized? Adult Member #1 *

Have you been baptized? Adult Member #1 YES NO If YES, please add the Church Name, City & State of Baptism

All sacraments received at St. Susanna are reported back to the baptismal parish.
Adult Family Member #1 -Please indicate the sacraments that you have received: *

Adult Family Member #1 -Please indicate the sacraments that you have received: 1st Eucharist Confirmed Marriage None of the above
Wedding Anniversary (if applicable) Wedding Anniversary (if applicable) / MM / DD YYYY
Primary Language Spoken by Family *
Please indicate below how you would like your donations recorded: *

Please indicate below how you would like your donations recorded: Receive Weekly Offering Envelopes Enroll in Online Giving Receive a member number to be noted on weekly offerings
Adult Family Member #2 Adult Family Member #2 * First Last
Adult Family Member #2 - Phone Number Adult Family Member #2 - Phone Number - ### - ### ####
Adult Family Member #2 - Email Address:
Adult Family Member #2: Birthday Adult Family Member #2: Birthday / MM / DD YYYY
Adult Family Member #2: Religion
Adult Family Member#2: Occupation
Adult Family Member #2: Have you been baptized?

Adult Family Member #2: Have you been baptized? YES NO If YES, please add the Church Name, City & State of Baptism
Adult Family Member #2: Please indicate the sacraments that you have received:

Adult Family Member #2: Please indicate the sacraments that you have received: 1st Eucharist Confirmed Marriage

All sacraments received at St. Susanna are reported back to the baptismal parish.

St. Susanna Parish Registration Form

St. Susanna Parish Registration Form

Family Information