Parish Registration Form

Welcome to St. Albert the Great Catholic Parish

Our address is 3033 Far Hills Avenue in Kettering, Ohio. If you have any questions about the Parish, contact the Parish Office at 937-293-1191.

St. Albert the Great uses a communication tool called Flocknote
We will use Flocknote to send you important updates about special events coming up, special liturgy information, inclement weather announcements, and more.

Flocknote is free to use and requires no download. It allows you to choose what groups (ministries) you want to join (receive information from). You can join or un-join a group at anytime, and there are no limit to how many groups you can join.

Two easy ways to sign up (takes about 1 minute)
1. Text the word 'albert' to 84576
2. Connect with us at StAlberttheGreatKett.flocknote.com

Parish Registration Form

Date of Registration

Household Last Name

Preferred Mailing Name / Examples: Mr. & Mrs. Joe Smith; Ms. Jenny Doe; Dr. & Mrs. John Martin

Address

City and Zip Code

Phone

Phone Unlisted?

yes

Adult Male First Name/Middle Name

Preferred Name

Last Name

Date of Birth

Religion

Catholic

Other

Occupation/Employer

Cell Phone

Adult Female Registration First Name/Middle Name

Preferred Name

Last Name

Date of Birth

Religion

Catholic

Other

Maiden Name

Occupation/Employer

Cell Phone

If Married, Date of Marriage

Name of Church with City & State

Married Catholic?

Yes

First Child First and Middle Name

Last Name

Gender

Date of Birth

Religion

School & Grade

Second Child First and Middle Name

Last Name

Gender

Date of Birth

Religion

School & Grade

For additional children, please provide all the above information

Emergency Contact

Emergency Contact Phone Number

Does anyone in your household need special needs?

yes

If so, please provide details

If in a Nursing Home, Please give the name of home

Contribution Method

Envelopes

Electronic On-Line Giving

Would you like to talk to a Priest?

yes

Comments

Would you like to volunteer? If so, what area would you like to volunteer for:

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