New Parishioner - Clover Park & Otara Catholic Parishes

Welcome to the Parishes of St John the Evangelist, Otara and St Peter Chanel, Clover Park. We would like you to fill in an enrolment form, download a copy here and return to the Parish Office or use the online form below.

Parish Enrolment Form

Last (family) Name*
Parish Community*
- St John the Evangelist
- St Peter Chanel
Years in Parish
Languages Spoken
Iwi (Maori)
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Email*
Home Phone
Mobile Phone*
Work Phone*
Family Residence (tick one)
- Owned
- Rented
Pledge Envelope Number(s)
Would you like to enroll for a Pledge envelope?*
- Yes
- No
Disabled or Elderly at home needing Holy Communion?
- Yes
- No
Number of people at this home address?

Individual Details / Head of Household & Spouse

First & Last Names	Date of Birth	Country of Birth	Religion	Place & Date of Baptism	Place & Date of Confirmation	Communion Yes or No	Date & Place of Marriage	Occupation

Individual Details / Children who live with you

First & Last Names	Date of Birth	Country of Birth	Religion	Place & Date of Baptism	Place & Date of Confirmation	Communion Yes or No	Date & Place of Marriage	School or Occupation

Individual Details / Others who live with you

First & Last Names	Date of Birth	Country of Birth	Religion	Place & Date of Baptism	Place & Date of Confirmation	Communion Yes or No	Date & Place of Marriage	School or Occupation