Become a Member

- Welcome to Our Parish!
  
  If you abide in me, and my words abide in you, ask whatever you wish, and it will be done for you. - John 15:7
- Print Registration Form - SUBMIT VIA ONLINE FORM BELOW
  
  New Member Registration Form for St. Ann Catholic Church
- Send The Form To:
  
  Please complete both sides of this form and return it to the Parish Office by:
  
  Mail it to:
  4001 Yuma St. NW
  Washington DC 20016
  
  or
  
  Email it to: [email protected]
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Registration and Census
  
  Please indicate the way you want your church envelopes addressed
  
  Registration type REQUIRED New Registration Update/Correction Please fill out this field.
  
  Date form completed (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Title Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Jr./Sr./etc. Please enter valid data.
  
  Street Address and (if applicable) Apt. # 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.
  
  Do not publish phone numbers e-mail
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Street address if different from mailing address Please enter valid data.
  
  Language spoken at home if other than English Please enter valid data.
  
  Do you have any special needs? e.g. transportation to church; information about special religious education and inclusive education for children with special needs, etc.
  
  INSTRUCTIONS: Please fill out a separate form for each family, or unrelated person living in your household. Include students, military personnel or others living away from home temporarily. This is the number of forms I need to appear below to fill out: REQUIRED Please fill out this field.
  
  Person 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 16
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 17
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 18
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 19
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Person 20
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race or Origin (Optional) Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Is marriage recognized by Catholic Church? (if applicable) Yes No
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Confirmed REQUIRED Yes No Please fill out this field.
  
  Catholic (If other, please specify below) REQUIRED Yes No Please fill out this field.
  
  Please specify if not Catholic Please enter valid data.
  
  Occupation/Name of School (if full time student) REQUIRED Please fill out this field. Please enter valid data.
  
  Submit
  
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Become a Member

Registration and Census