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Parish Registration Form

In order to register with St. Ann, you cannot be registered in another parish in the same county, so please unregister from your existing parish.

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Family Information

Need Envelope(Required)

Yes

No

Online Giving(Required)

Yes

No

Membership Type(Required)

Full Time

Seasonal

Months in Naples(Required)

Physical Naples Address(Required)

Street Address & Development / Condo Name Address Line 2 City State ZIP Code

Primary Naples Telephone Number(Required)

Mailing Address

(Please fill out if different from Physical Naples Address)

Street Address Address Line 2 City State ZIP Code

Northern Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Northern Phone Number(Required)

Head of Household Information

Name(Required)

Prefix First Middle Last & Suffix Maiden (If Applicable)

Gender(Required)

Male

Female

Role in Family(Required)

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

Language(Required)

Ethnicity(Required)

Marital Status(Required)

Wedding Anniversary Date(Required)

Month

Day

Year

Email(Required)

Cell Phone

Work Phone

Employer(Required)

Occupation and Employment Status (Retired, etc.)(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Number of Children under 18(Required)

Children 18 and over should register as an Individual

Would you like a priest to visit and bless your home?(Required)

Yes

No

Spouse Information

Name(Required)

Prefix First Middle Last & Suffix Maiden (If Applicable)

Gender(Required)

Male

Female

Role in Family(Required)

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

Language(Required)

Ethnicity(Required)

Email(Required)

Cell Phone

Work Phone

Employer(Required)

Occupation and Employment Status (Retired, etc.)(Required)

Child 1 Information

Name(Required)

First Middle Last

Gender(Required)

Male

Female

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

School(Required)

Baptismal Date & Parish(Required)

Ministries of Interest

Child 2 Information

Name(Required)

First Middle Last

Gender(Required)

Male

Female

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

School(Required)

Baptismal Date & Parish(Required)

Ministries of Interest

Child 3 Information

Name(Required)

First Middle Last

Gender(Required)

Male

Female

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

School(Required)

Baptismal Date & Parish(Required)

Ministries of Interest

Child 4 Information

Name(Required)

First Middle Last

Gender(Required)

Male

Female

Birthdate(Required)

Month

Day

Year

Birthplace(Required)

Religion(Required)

School(Required)

Baptismal Date & Parish(Required)

Ministries of Interest

Adult Parish Ministries

Ministry Selection

Check all that apply/you are interested in joining

Adult Choir

Altar Linens

Arimatheans (Funeral Support)

Bereavement

Catechist/Youth Group Leader

Contemplative Prayer Group

Extraordinary Ministers of Communion

Family-2-Family

Funeral Coordinator

Homebound Ministry

Hospital Ministry

Knights of Columbus

Lay Carmelites

Lector

Respect Life

Sacristans

School Volunteer

Shrine Care

Social Committee

Ushers

Youth Choir

Wedding Coordinator

I would like to volunteer at the Parish(Required)

Yes

No

My gifts are

(i.e. Maintenance, Clerical, Cooking, Cleaning, etc.)

Additional Information

Add Any Additional Information

Email

This field is for validation purposes and should be left unchanged.

To be a spirit-filled people who Live Jesus,

in a community of stewardship, welcoming all to the presence of God.

Saint Ann Catholic Church

475 9th Avenue South

Naples, FL 34102

(239) 262-4256 Contact Us

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Vatican Diocese of Venice USCCB Mass Times Ministries Becoming Catholic St Ann School St Ann Foundation

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