| Mother's Name | Prefix (Mother's Name) | First (Mother's Name) | Middle (Mother's Name) | Last (Mother's Name) | Suffix (Mother's Name) | Mother's Religion | Mother's Cell Phone | Mother's Email | Home Phone | Mailing Address | Street Address (Mailing Address) | Address Line 2 (Mailing Address) | City (Mailing Address) | State / Province (Mailing Address) | ZIP / Postal Code (Mailing Address) | Country (Mailing Address) | Father's Name | Prefix (Father's Name) | First (Father's Name) | Middle (Father's Name) | Last (Father's Name) | Suffix (Father's Name) | Father's Religion | Father's Cell Phone | Father's Email | Different Home Phone/Address than Mother? | Father's Home Phone | Father's Mailing Address | Street Address (Father's Mailing Address) | Address Line 2 (Father's Mailing Address) | City (Father's Mailing Address) | State / Province (Father's Mailing Address) | ZIP / Postal Code (Father's Mailing Address) | Country (Father's Mailing Address) | Our family is interested in the following: (Please check) | Catechesis of the Good Shepherd (ages 3-6th grade) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check)) | Catechesis of the Good Shepherd (ages 3-6th grade) Wednesdays, 3:00-5:00 PM (Our family is interested in the following: (Please check)) | Middle School Youth Religious Education (grades 7-8) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check)) | High School Bible Study and Youth Group (grades 9-12) Sundays, 9:30-10:45 AM and Tuesday evenings (Our family is interested in the following: (Please check)) | First Communion Preparation (age 7+) (Our family is interested in the following: (Please check)) | Confirmation Preparation (age 13+) (Our family is interested in the following: (Please check)) | Home Study Programs (for families unable to attend on Sunday mornings) (Our family is interested in the following: (Please check)) | Children’s Liturgy of the Word (during 11:00 Mass) (Our family is interested in the following: (Please check)) | RCIA for Children (for children who have not yet been baptized or who were baptized in another Christian faith tradition) (Our family is interested in the following: (Please check)) | Other (Our family is interested in the following: (Please check)) | Other Interest | Number of Children Being Registered | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | In Parish– including but not limited to bulletin board displays, slide shows, class-made books, or student multimedia projects; students may be identified by first and last name. (Not posted on the Internet) | Outside Publications – including but not limited to Diocesan publications; students may be identified by first and last name. | Internet– including but not limited to parish website, parish Facebook page; students may be identified by first and last name. | Parent or guardian signature | Date |
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| Mother's Name | Prefix (Mother's Name) | First (Mother's Name) | Middle (Mother's Name) | Last (Mother's Name) | Suffix (Mother's Name) | Mother's Religion | Mother's Cell Phone | Mother's Email | Home Phone | Mailing Address | Street Address (Mailing Address) | Address Line 2 (Mailing Address) | City (Mailing Address) | State / Province (Mailing Address) | ZIP / Postal Code (Mailing Address) | Country (Mailing Address) | Father's Name | Prefix (Father's Name) | First (Father's Name) | Middle (Father's Name) | Last (Father's Name) | Suffix (Father's Name) | Father's Religion | Father's Cell Phone | Father's Email | Different Home Phone/Address than Mother? | Father's Home Phone | Father's Mailing Address | Street Address (Father's Mailing Address) | Address Line 2 (Father's Mailing Address) | City (Father's Mailing Address) | State / Province (Father's Mailing Address) | ZIP / Postal Code (Father's Mailing Address) | Country (Father's Mailing Address) | Our family is interested in the following: (Please check) | Catechesis of the Good Shepherd (ages 3-6th grade) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check)) | Catechesis of the Good Shepherd (ages 3-6th grade) Wednesdays, 3:00-5:00 PM (Our family is interested in the following: (Please check)) | Middle School Youth Religious Education (grades 7-8) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check)) | High School Bible Study and Youth Group (grades 9-12) Sundays, 9:30-10:45 AM and Tuesday evenings (Our family is interested in the following: (Please check)) | First Communion Preparation (age 7+) (Our family is interested in the following: (Please check)) | Confirmation Preparation (age 13+) (Our family is interested in the following: (Please check)) | Home Study Programs (for families unable to attend on Sunday mornings) (Our family is interested in the following: (Please check)) | Children’s Liturgy of the Word (during 11:00 Mass) (Our family is interested in the following: (Please check)) | RCIA for Children (for children who have not yet been baptized or who were baptized in another Christian faith tradition) (Our family is interested in the following: (Please check)) | Other (Our family is interested in the following: (Please check)) | Other Interest | Number of Children Being Registered | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | Name | Prefix (Name) | First (Name) | Middle (Name) | Last (Name) | Suffix (Name) | Date of Birth | Age | School | Grade | Received Baptism? | Date of Baptism | Received First Communion? | Date of First Communion | Received Confirmation? | Date of Confirmation | Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) | In Parish– including but not limited to bulletin board displays, slide shows, class-made books, or student multimedia projects; students may be identified by first and last name. (Not posted on the Internet) | Outside Publications – including but not limited to Diocesan publications; students may be identified by first and last name. | Internet– including but not limited to parish website, parish Facebook page; students may be identified by first and last name. | Parent or guardian signature | Date |
Contact Us
St. Peter Catholic Church
190 Adams Avenue at Third Street
Memphis, TN 38103
Memphis, TN 38103
Church Office
Phone: (901) 527-8282
Fax: (901) 526-6882
Hours: Monday-Friday
8:00 a.m. - 4:00 p.m.
St. Martin de Porres National Shrine & Institute
Phone: (901) 578-2643
www.stmartinshrine.org