top of page

HOME
REGISTER WITH THE PARISH
SACRAMENTS
ABOUT US
PHOTO GALLERY
CANONS REGULAR
CONTACT US
MORE

Use tab to navigate through the menu items.

Staffed by the Canons Regular of St. John Cantius | Serving the Diocese of Springfield in Illinois

Register with the Parish

Do you want to receive donation envelopes?*

Yes

No

Title

Mr. & Mrs.

Mr.

Mrs.

Ms.

Miss

First name*

Last name*

Multi-line address

Country/Region*

Address*

Address - line 2

City*

Zip / Postal code*

Phone*

Email*

Marital Status

Single

Widowed

Divorced

Married

Date of Marriage

Church Name / City & State

Was your marriage witnessed by a priest?

Yes

No

Head of Household Full Name (First, Middle & Last)*

Nickname or Preferred Name

Maiden Name

Date of Birth

Religion

Baptism

Yes

No

Baptism Year / Church / City & State

First Communion

Yes

No

First Communion Year / Church / City & State

Confirmation

Yes

No

Confirmation Year / Church / City & State

Employer / Occupation

Work Phone

Cell Phone

Spouse Full Name (First, Middle & Last)