Berlin, NJ

St. Simon Stock Parish Family Registration

178 White Horse Pike, Berlin, NJ 08009 (856)-767-2563

Use the form below to join our parish. Please be sure to fill in as much information as possible, particularly the appropriate "Yes" checkboxes.

Basic Information
Individual Member Information
Member 1 Member 2
Parish Status
Role (Head of House, Husband, Wife, etc.)
First Name/Nickname / /
Maiden Name
Gender
Date of Birth
(mm/dd/yyyy)
E-mail
Work Phone/Cell Phone / /
First Language
Occupation
Employer
Sacramental Info
Baptized
Catholic?
Catholic?
Reconciliation
First Eucharist
Confirmation
Marital Status
Valid Catholic Marriage?
Dependent Children Information

Dependent #1

Catholic?

Dependent #2

Catholic?

Dependent #3

Catholic?
Add Dependent