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Member Registration

- About

Welcome to our 2022-2023 Membership page! We are so glad you are here. Our motto at the Catholic Center is All Are Welcome and we like to stand by that. Please fill out the form below to be a registered member of our community. If you are a undergraduate or graduate student, please fill out the Student Registration form!
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary email for household REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  What is your affiliation with University of Georgia? REQUIRED Please fill out this field.
  
  First Language? REQUIRED Please fill out this field. Please enter valid data.
  
  Please check the items you would like to receive Donation envelopes Georgia Bulletin
- Household Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Title REQUIRED Dr. Mr. Mrs. Ms. Please fill out this field.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Single Married Please fill out this field.
  
  If married, indicate church of marriage Please enter valid data.
  
  Baptized REQUIRED Baptized Catholic Baptized Non-Catholic Not Baptized Please fill out this field.
  
  Church and city of Baptism Please enter valid data.
  
  Convert to Catholicism? REQUIRED Yes No Please fill out this field.
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs (Head of Household)
- Spouse (living in the household)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Title Dr. Mr. Mrs. Ms.
  
  Occupation Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Marital Status Single Married
  
  If married, indicate church of marriage Please enter valid data.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church and city of Baptism Please enter valid data.
  
  Convert to Catholicism? Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs (Head of Household)
- Number of children living in household 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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  Child 8
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
  
  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 Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized Baptized Catholic Baptized Non-Catholic Not Baptized
  
  Church of Baptism Please enter valid data.
  
  Convert to Catholicism Yes No
  
  If convert, Church of Catholic Baptism or Profession of Faith Please enter valid data.
  
  Other Sacraments received through Catholic Church First Communion Confirmation
  
  Volunteer Opportunities at the Catholic Center Altar server Lector/Reader Baking/Hospitality Eucharistic Minister Choir/Music Special Events Other
  
  Special Needs
Submit

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