St. Monica Church

1001 Camino Pablo, Moraga, CA 94556
925-376-6900

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We would like to extend a very special welcome to our Visitors - know you are always welcome at St. Monica! Should you decide to register in the parish, you can simply complete the registration form below. WELCOME!
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- Giving Options (select all that apply) I would like to use envelopes I am interested in your online giving program
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- Family Member Information
- Number of Family Members (Including Yourself) REQUIRED Please fill out this field.
  
  Family Member 1
  
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  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 2
  
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  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 3
  
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  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation or School/Grade Level Please enter valid data.
  
  Sacraments Received REQUIRED None Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
- Additional Notes
- Submission Confirmation Email REQUIRED Please fill out this field. Please enter an email address.
- I agree that providing my contact information to the Church of St. Monica signifies my consent to be contacted by the parish using the means submitted on this form. Please select this field.
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About
Lent
Sacraments
Faith Formation
Get Involved
- Ministries & Outreach
- Fellowship
Funerals
Give

Saint Monica Catholic Church

1001 Camino Pablo
Moraga, Ca 94556
925.376.6900

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