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Paternal Leader
1400 Suther Road, Charlotte NC 28213 | Phone:
(704) 549-1607
| Fax: (704) 549-1614
Parish Registration
Family Contact Information
In this section please indicate information that is applicable to your entire household. Individual Information will be requested below.
Family Last Name
Home Phone
-
-
--select--
Home
Mobile
Work
Cell Phone
Required*
-
-
--select--
Home
Mobile
Work
Home Address
Street 1*
Street 2
City*
State*
-- select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
None--International
Zip*
Be sure to include any apartment numbers or special information that will ensure the Post Office can deliver any communications. Be sure to include Street Address, City, State, and Zip Code.
How Long Have You Been Attending Mass Here?
Required*
Previous Parish Name
Required*
Email Address
Required*
Would You Like To Receive Our Email Newsletter?
Required*
Yes
No
We do not send more than 2 emails per month, but think that communicating via email is an efficient way to send information to our parishioners.
Head of Household Information
If both spouses are Catholic, use this place for the husband.
Name of Head of Household
Title
First Name*
Last Name*
Gender
Required*
Male
Female
Birth Date
Required*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Be sure to indicate the correct year.
Religion
Required*
Please make a selection
Catholic
Protestant
Non-Denominational
Jewish
Buddist
Hindu
Ethnicity
Required*
ex: Caucasian, African American, Hispanic, Asian, Multi-Racial
Country
Required*
-- select --
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Pseudo-Accents
Pseudo-Bidi
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Sacramental Information (Check if Received)
Required*
Baptism
1st Penance
1st Communion
Confirmation
Employer Name & Phone Number
Current Marital Status
Required*
Single
Married
Widowed
Divorced
Annulled
Engaged
Wedding Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Place of Wedding
City & State of Wedding
Were you married with the Blessing of the Catholic Church?
Yes
No
Spouse Information
If you are a single person, please scroll down to the ministry listing to complete your registration. If you are a single parent, please scroll down to the next section to insert the information for your children.
Full Name of Spouse
Title
First Name
Last Name
Gender
Male
Female
Birth Date
Indicate correct month, day, and year
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Religion
Please make a selection
Catholic
Protestant
Non-Denominational
Jewish
Buddist
Hindu
Ethnicity
Country
-- select --
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Pseudo-Accents
Pseudo-Bidi
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Sacramental Information
Check all Sacraments you have received.
Baptism
1st Penance
1st Communion
Confirmation
Employer Name & Phone Number
Children's Information
Please list the the requested information for EACH child still living in your household.
First Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Second Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Third Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Fourth Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Fifth Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Sixth Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Seventh Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Eighth Child
Full Name, Gender, Date of Birth, Ethnicity, Religion, Sacraments Received (Baptism, Eucharist, Confirmation)
Family Interests and Activities
Please select any of the Ministries, Organizations, and Religious Educational Opportunities that you or your family members are interested in learning more about. Descriptions can be found on our website: http://www.stacharlotte.com/ministries
Spiritual Ministries
Bereavement Ministry
Legion of Mary
Men of Veritas
Prayer Shawl
RCIA
Respect Life
Vocations Awareness
Liturgical Ministries
Altar Boys
Altar Linen Care
Choirs & Cantors
Custodians of the Most Blessed Sacrament
Greeter
Reader
Transportation Ministry
Ushers
Corporal Ministries
Bereavement Luncheons
Blood Drive
Christmas Angel Tree
Clothing Drive
Friends of St. Francis Gardening
Jail Ministry
Room in the Inn
Sandwiches for Men's Shelter
Share Sunday
Thanksgiving Basket Delivery
Women's Shelter Meals
Parish Life Groups
Catholic Campus Ministry
Columbiettes
Columbian Squires
Fraternity of St. Joseph Men's Group
Girl Scouts
Hispanic Ministry
Joyful Hearts (over 40)
Knights of Columbus
Special Events
Troops of St. George (Boys 6-18)
World Feast Planning/Volunteering
Religious Education
Adult Education
Adult Confirmation
Baptismal Preparation
Bible Study (Adult)
Catechist/Assistant Teacher
Religious Education (1st-8th)
RCIA
Sacramental Preparation: 1st Penance/Communion or Confirmation
Youth Ministry (6th-8th)
Youth Ministry (9th-12th)
Special Talents I Can Share
Attorney
Carpenter
Contractor
Cook/Chef
Doctor
Editor
Electrician
EMT
Engineer
Gardener
Handyman
IT
Nurse
Painter
Plumber
Photography/Videography
Police/Security
Sewing/Embroidery
Why have you chosen to become a member of this parish?
Required*
Are there any special needs or circumstances of which the pastor needs to be aware?
Required*
It may take a moment for your information to be submitted.