Online Parish Registration

Date REQUIRED Please fill out this field. Please enter a date.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Is this an unlisted number? REQUIRED Please fill out this field. Please enter valid data.

Home 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.

Head of Household:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Title: REQUIRED Please fill out this field.

Birth Date REQUIRED Please fill out this field. Please enter a date.

Email REQUIRED Please fill out this field. Please enter an email address.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Place of Employment Please enter valid data.

Occupation Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Have you been: REQUIRED Baptized Confirmed Please fill out this field.

In what parish were you last registered? (name, city & state) REQUIRED Please fill out this field. Please enter valid data.

Marital Status REQUIRED Single Engaged Married (blessed in the Catholic Church) Married (not blessed in the Catholic Church) Divorced Widowed Divorced & Remarried Seeking Annulment Please fill out this field.

Date of Marriage (if applicable) Please enter a date.

Maiden Name (if applicable) Please enter valid data.

Spouse's Information (if applicable)

First Name Please enter valid data.

Last Name Please enter valid data.

Title:

Birth Date Please enter a date.

Email Please enter an email address.

Cell Phone Number Please enter a phone number.

Place of Employment Please enter valid data.

Occupation Please enter valid data.

Religion Please enter valid data.

Have you been: Baptized Confirmed

In what parish were you last registered? (name, city & state) Please enter valid data.

Photo Release & Newsletter Subscription

I understand that photos of my child(ren) (names will not be used) may be published in the following: Parish Media (Website, Newsletters, Bulletin), The Catholic Moment, Facebook and Instagram REQUIRED Please fill out this field.

Parent Signature (typed) REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Does anyone in your immediate household have special challenges? (wheelchair, hearing, sight, shut-in, etc.)? Yes No

Do you have a family member serving in the U.S. Military? Yes No

Our parish uses Flock Note, which is a free platform, to communicate with our parishioners. Can we sign you up? REQUIRED Yes No Please fill out this field.

How Did You Hear About St. John Vianney Catholic Church? Please enter valid data.

How Did You Hear About St. John Vianney Catholic Church?

St. John Vianney
Catholic Church, Fishers, IN

A Pastorate of the Diocese of Lafayette-in-Indiana

Online Parish Registration