Joining St. Tom&#039;s

Please complete the required fields to submit your completed form. We will be in touch with more information as a new member of our parish. In the meantime, you can learn more about St. Tom's ministries by visiting the "current student parishioner" and " current resident parishioner" pages.

Parishioner REQUIRED Student Resident Please fill out this field.

Please note there are separate sections for resident and student parishioner registrations.

THIS SECTION IS FOR RESIDENT PARISHIONER REGISTRATION ONLY (Skip to the next section if you are a Purdue student - undergraduate and graduate studies).

First Name Please enter valid data.

Last Name Please enter valid data.

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

Current 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.

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

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

Spouse's First Name (if applicable) Please enter valid data.

Spouse's Last Name (if applicable) Please enter valid data.

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

Spouse's Phone Number (if applicable) Please enter a phone number.

Spouse's Email (if applicable) Please enter an email address.

FAMILY MEMBERS (if applicable)

Do you have children? Yes No

Number of Children Please enter an integer (number).

Child 1 Name

If you have children

Please enter valid data.

Child 1: Date of Birthday

if you have children

Please enter a date.

Child 2 Name

if you have children

Please enter valid data.

Child 2: Date of Birthday

if you have children

Please enter a date.

Child 3 Name

if you have children

Please enter valid data.

Child 3: Date of Birthday

if you have children

Please enter a date.

Child 4 Name

if you have children

Please enter valid data.

Child 4: Date of Birthday

if you have children

Please enter a date.

Child 5 Name

if you have children

Please enter valid data.

Child 5: Date of Birthday

if you have children

Please enter a date.

Child 6: Date of Birthday

if you have children

Please enter a date.

Child 6 Name

if you have children

Please enter valid data.

Child 7: Date of Birthday

if you have children

Please enter a date.

Child 7 Name

if you have children

Please enter valid data.

THIS SECTION IS FOR STUDENT OR GRAD PARISHIONER REGISTRATION ONLY

First Name Please enter valid data.

Last Name Please enter valid data.

Date of Birthday Please enter a date.

Phone Number Please enter a phone number.

Email Please enter an email address.

Permanent Home Address

This is the address of your parent , guardian, or place of residence when you are not living on campus.

Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Graduation Year Please enter valid data.

Parent(s)/Guardian(s) First Name Please enter valid data.

Parent(s)/Guardian(s) Last Name Please enter valid data.

SACRAMENTAL PREPARATION

Are you Catholic? REQUIRED Yes No Please fill out this field.

Sacraments Received REQUIRED Are you Baptized? Are you Confirmed? Are you Married? Please fill out this field.

If you are not Catholic, would you like more information on becoming one? Yes No

Joining St. Tom's

Parish Registration

1. St. Tom's Communications

2. Registration Form