Sacred Heart Catholic Church

1210 17-1/2 Road, Fruita, CO 81521

970-858-9605
Office Hours: Monday - Thursday, 9:30am - Noon and 1:00pm - 3:30pm

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Registration Form

- Welcome

Registration

Welcome to Sacred Heart Catholic Church of Fruita. Registering helps us to better serve you and your needs. Please note that your information will be kept confidential within the Catholic Church and will not be shared with any else.

Also, please note that we have included blanks for email addresses and cell phone numbers for your children. This is for the high school and middle school youth ministry leaders. If you do not wish to provide this information, please leave these areas blank.

If you wish to fill out a printed registration form, they are available in the Church Narthex. If you have any questions, please call the Church Office at 970-858-9605. Office hours are Monday through Thursday, 9:00am to noon and 1:00pm to 3:00pm.

If you wish to make changes to your existing registration, please click on the Update Registration button on the left.

Thank you!
Parish Registration Form - Part I Family Information
The maximum number of form submissions has been reached. This form is currently not available.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Gender
  
  Maiden Name Please enter valid data.
  
  Home Street 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.
  
  Home Phone Maximum 20 characters Please enter a phone number.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Please use the following as my Primary Phone# REQUIRED Home Phone Cell Phone Please fill out this field.
  
  Is it OK to list your primary phone number in Church Directories? Yes No
  
  Email Please enter an email address.
  
  Marital Status
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptism First Communion First Reconcilliation Confirmation
  
  Church of Baptism Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Occupation Please enter valid data.
  
  What Mass Will You Regularly Attend Saturday, 5:00pm Sunday, 8:00am Sunday, 11:00am Weekday Mass/Communion Service Any service that meets my/our schedule
  
  Former Parish Name Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Donations REQUIRED Weekly Envelopes Monthly Envelopes We Share On-Line Please fill out this field.
- Spouse (if applicable)
  
  Spouse First Name Please enter valid data.
  
  Spouse Last Name Please enter valid data.
  
  Spouse Maiden Name Please enter valid data.
  
  Spouse Date of Birth
  MM/DD/YYYY
  Please enter a date.
  
  Spouse Gender
  
  Spouse Cell Phone Maximum 20 characters Please enter a phone number.
  
  Spouse Email Please enter an email address.
  
  Spouse Religion Please enter valid data.
  
  Spouse Sacraments Received None Baptism First Communion First Reconciliation Confirmation
  
  Spouse Church of Baptisim Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Spouse Occupation Please enter valid data.
- Number of Children REQUIRED
  by listing the number of children in your family, the form will populate accordinglingly.
  Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
  
  Child 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender
  
  Religion Please enter valid data.
  
  Sacraments Received None Baptisim First Communion First Reconciliation Confirmation
  
  Church of Baptism 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.
  
  Cell Number Maximum 20 characters
  For use by Youth Group Leaders only
  Please enter a phone number.
  
  Email
  For use by Youth Group Leaders only
  Please enter an email address.
Submit

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