Join St. Benedict

Join St. Benedict...

...where we celebrate "God Among Us" with all people.

St. Benedict parishioners are actively involved in social justice issues, gathering on Sunday mornings to nourish their bodies and souls as they toil in the vineyard of the Lord. St. Ben's does not strive to be a traditional-type parish. We have no defined boundaries. Considering our location and population, we reach out to the transient, disenfranchised and disenchanted people.

If you are interested in joining our parish family, please fill out the registration form below. If you're not quite ready to join, but would like to talk to someone a little more about membership here at St. Benedict the Moor, please don't hestiate to contact us.

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Member Registration Form

Household Information

Household Mailing Name (example Rick & Angie Smith)(*)

Please fill out all the required fields

Mailing Address(*)

Please fill out all required fields.

City(*)

Please fill out all required fields.

State(*)

Please fill out all required fields.

Zip Code(*)

Please fill out all required fields.

Primary Household Phone Number

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Mass Most Often Attended

8:30AM

10:30AM

6:15PM

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Head of Household

Last Name

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Cell Phone Number

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Occupation

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First Name

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Email Address

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Birthdate

/ / Please provide a valid birthdate

Gender

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Are You Catholic?

YesNo Invalid Input

I'm interested in becoming Catholic. Invalid Input

Marital Status

Never Married

Married

Widowed

Divorced

Other

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Head of Household Sacraments

Please select all the sacraments received.

Baptism

First Communion

Confirmation

Marriage

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Are you interested on receiving any of these sacraments?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

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Date of Baptism

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Date of First Communion

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Date of Confirmation

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Date of Marriage

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Church & City of Baptism

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Church & City of First Communion

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Church & City of Confirmation

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Church & City of Marriage

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Please check any ministries or programs for which you would like to receive more information.

Ministry During Mass

Eucharistic Minister

Usher

Lector/Reader

Children's Word

Mass Server

Choir

Committees

Parish Council

Administration

Liturgical

Human Concerns

Faith Formation

Bereavement

Parish Office Volunteers

Copying/Filing

Large Mailings

Data Entry

St. Vincent de Paul

Knights of Columbus / Ladies Peter Claver

Grounds/Buildings Volunteers

Lawn, Gardening, Plant Care

Painting

General Cleaning

Fish Fry (During Lent)

Cooking

Set Up / Clean Up

Serving

Educational Ministries

Youth Group

Religious Education

Youth Confirmation

Pastoral Ministry

Hospital Visits

Visits to the Homebound

Prison Ministry

VITA Tax Program

Tax Preparation

Food Preparation

Filing/Copying

Prayer Group

Bible Study

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If you have additional members of your household to add (spouse, children, etc), please click the green Next button.
If you are finished, please click the blue Submit button.

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Spouse Information

If you would like to skip to providing information about your children, please click the green NEXT button at the bottom of the page.

Last Name

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Cell Phone Number

Invalid Input

Occupation

Invalid Input

First Name

Invalid Input

Email Address

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Gender

Invalid Input

Catholic?

Yes

Invalid Input

I'm interested in becoming Catholic. Invalid Input

Marital Status

Never Married

Married

Widowed

Divorced

Other

Invalid Input

Spouse Sacraments

Please select all the sacraments received.

Baptism

First Communion

Confirmation

Marriage

Invalid Input

If you have not yet received any of these sacraments, are you interested on receiving any of them?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Date of Marriage

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

Invalid Input

Church & City of Marriage

Invalid Input

If you have additional members of your household to add (spouse, children, etc), please click the green Next button.
If you are finished, please click the blue Submit button.

Child #1 Information

If you do not have any children, please click the blue SUBMIT button at the bottom of the page.

Child's Name

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Gender

Male

Female

Prefer not to answer

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Please select all the sacraments the child has received.

Baptism

First Communion

Confirmation

Invalid Input

Would you like more information about any of these sacraments for your child?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

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I need to add another child. Invalid Input

Child #2 Information

Child's Name

Invalid Input

Gender

Male

Female

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Please select all the sacraments the child has received.

Baptism

First Communion

Confirmation

Invalid Input

Would you like more information about any of these sacraments for your child?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

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I need to add another child. Invalid Input

Child #3 Information

Child's Name

Invalid Input

Gender

Male

Female

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Please select all the sacraments the child has received.

Baptism

First Communion

Confirmation

Invalid Input

Would you like more information about any of these sacraments for your child?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

Invalid Input

I need to add another child. Invalid Input

Child #4 Information

Child's Name

Invalid Input

Gender

Male

Female

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Please select all the sacraments the child has received.

Baptism

First Communion

Confirmation

Invalid Input

Would you like more information about any of these sacraments for your child?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

Invalid Input

I need to add another child. Invalid Input

Child #5 Information

Child's Name

Invalid Input

Gender

Male

Female

Prefer not to answer

Invalid Input

Birthdate

/ / Please provide a valid birthdate

Please select all the sacraments the child has received.

Baptism

First Communion

Confirmation

Invalid Input

Would you like more information about any of these sacraments for your child?

Yes, please contact me.No, not at this time. Invalid Input

Which sacrament(s) are you interested in?

Invalid Input

Date of Baptism

Invalid Input

Date of First Communion

Invalid Input

Date of Confirmation

Invalid Input

Church & City of Baptism

Invalid Input

Church & City of First Communion

Invalid Input

Church & City of Confirmation

Invalid Input

If you have additional household members or other household situations not represented on this form, please contact the parish office at (414) 800-4007 or This email address is being protected from spambots. You need JavaScript enabled to view it. and we would be happy to talk through your family's unique situation.