Welcome to Good Shepherd Catholic Church. Please fill out the following information as
completely as possible to register as a new parishioner. If you are a current parishioner
and would like to update your information, please call the office at 812-477-5405 to get
your ID number. You may then use this form to update your personal information.
Thank you! Please visit our web site at gsparish.org for more information.

Click Submit Form to send this information to Good Shepherd Catholic Church.


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*Required fields

*Registration Option
Register a New Family
Update an Existing Family		 *ID/Env:  
       Note: Just enter the field(s) that need to be updated.
Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Phone 1
( )
–

Unlisted
  Phone 2
( )
–

Unlisted
  Email 1


Unlisted
Send Email Instead of Mail When Possible
  Email 2


Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   R.C.I.A.
Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1
( )
–

Unlisted
  Phone 2
( )
–

Unlisted
  Email 1


Unlisted
Send Email Instead of Mail When Possible
  Email 2


Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   R.C.I.A.
Family Street Address
*Line 1
  Line 2
*City
*State

*ZIP
Family Mailing Address
  Line 1
  Line 2
  City
  State

  ZIP
Family Alternate Address
  Line 1
  Line 2
  City
  State

  ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary
( )
–

Unlisted
  Other
( )
–

Unlisted
Family Email Address
*Email


Unlisted
Send Email Instead of Mail When Possible
Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1
( )
–

Unlisted
  Phone 2
( )
–

Unlisted
  Email 1


Unlisted
Send Email Instead of Mail When Possible
  Email 2


Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   R.C.I.A.


Click Submit Form to send this information to Good Shepherd Catholic Church.