Registration Form

We encourage you to fill out this form, whether you participate in the Xavier community, regularly or occasionally.

Let us know how you would like correspondence to be addressed to your household.

ALL INFORMATION WILL BE HELD CONFIDENTIAL

* = Required fields

First name*
Last name*
Address*
City*
State * ZIP Code*

Phone*
Work Phone
Cell
E-mail*

Re-Registering?

New To Parish?

Marital Status:

Please give name, relationship,
age of children, sacraments
received in your household:

Ministries at Xavier:

Committees at Xavier:

Volunteer availability:

Talents/Interests:

Occupation:

Employer:

Do you or a member of your
family have a disability about
which you wish the parish to
know about?

Questions or Comments

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