Registration - St Dominic's Catholic Church

We'd love to welcome you into our community. Please fill in this form with your details so that we can connect with you.

Your details

This first section is for you to tell us more about yourself. This section will also create a record of a 'household' to which any details about your spouse or children living at home will be added.

Name(Required)

Title First Last

Date of Birth

Gender

Contact Options

Email address(Required)

Contact number(Required)

Subscribe to our email newsletters at this email address?

We send out a weekly newsletter that details parish events, news and activities to anyone who wishes to receive it.

Address

Street Address Suburb City Post Code

Heritage (optional)

We would love to know more about the incredible diversity of our parishioners - especially so that we can welcome different customs and help coordinate relevant cultural events. If you would like to tell us about your cultural ethnic heritage, please feel free to do so in this box.

Occupation (optional)

It would be great to know more about what expertise and industries we have represented in our community.

Have you been Baptised?

If you have been baptised in either the Catholic church or into another Christian denomination, please let us know as this helps us with sacramental programme planning. If you have not been baptised, you are still very welcome in our community.

Other sacraments received

Please tick all the boxes for the sacraments that you have received. (Note: First Reconciliation is also known as the Sacrament of Penance or Confession.)

First Reconciliation

Confirmation

First Holy Communion

Are you willing to (or do you already) help within our parishes on a regular basis or in ministry?

We always appreciate people being willing to help serve our faith community in one way or another. If you are interested and willing, please indicate below. (You can read more about these ministries and other roles here on our website.)

In which ministries, roles or groups would you be interested in volunteering or joining?

Thank you for your generosity of spirit. Please select whichever areas are of interest to you. This does not mean you will be rostered in that role necessarily, but rather that we may be in contact to discuss the options for having you help in that area. If you are currently rostered in one or more of these areas already, please re-select them again below to help with our data collection.

Volunteer note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Optional: your spouse's details

Please fill in this section if you would like to register your spouse, if applicable. They do not need to be Catholic, nor do they need to be a regular attendee at Mass.

Would you like to register your spouse?

Spouse / Partner Name(Required)

Title First Last

Date of Birth

Gender

Email address

Contact number

Subscribe to our email newsletters at this email address?

Heritage (optional)

Occupation (optional)

Has your spouse been Baptised?

Either into the Catholic church or into another Christian denomination. If your spouse has not been baptised, they are still very welcome in our community.

Other sacraments received by your spouse

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing to (or do they already) help within our parishes on a regular basis or in ministry?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Optional: your children who are living at home

Please fill in this section if you would like to register your dependent children living at home with you, if applicable.

Would you like to register your children living at home?

How many children would you like to register?

If you wish to register more than 10 children, please contact the parish office and they will be able to assist you.

Child #1

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Hidden

Occupation

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #2

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #3

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #4

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #5

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #6

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the Sacraments of Initiation that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #7

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #8

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #9

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Child #10

Name(Required)

First Last

Date of Birth

Gender

Email address (optional)

Contact number (optional)

Subscribe to our email newsletters at this email address?

Heritage (optional)

School

Have they been Baptised?

Hidden

Occupation

Other sacraments received

Please tick all the boxes for the sacraments that they have received.

First Reconciliation

Confirmation

First Holy Communion

Are they willing and able to serve the community in one or more parish ministries?

In which ministries, roles or groups would they be interested in volunteering or joining?

Volunteer Note

If you have any questions or comments about your selection of ministries above, please let us know in the box below.

Parish details

This final section is to capture details about our parishes and planned giving.

Are you already a member of our Planned Giving programme?

If you are a member of our programme, thank you for your generosity and support! You will know if you are a member because you will receive a donation tax certificate each year and which mentions your Planned Giving Number.

Planned Giving Number

If you know your existing Planned Giving Number, please enter it below. Otherwise, leave the field empty.

Would you like to participate in Planned Giving?

Our planned giving programme allows for an easier way to contribute financially to supporting the operations of our parishes, and ensures you receive a tax certificate for your donations each year. Would you like to contribute to the parish on a regular basis using automatic payment from your bank? If so, please indicate below and we will come back to you with details on how to set this up.

Data & privacy agreement(Required)

By completing this form, I consent to my information (and any relevant information that I have provided on behalf of my spouse or dependents) being stored and used for the pastoral, financial and administrative purposes of St Dominic's Blockhouse Bay and the Catholic Diocese of Auckland. I understand that my data will be held securely and that I have a right to access my information. I understand that my data will not be shared with third parties without my consent. I understand that when this information is no longer required for this purpose, my data will be disposed of according to the Parish and Diocesan Record Retention and Disposal procedure.

Yes