Register

- Register
Contact
- Margaret Roddy
  
  Pastoral Minister for Church Management and Sacrament Coordination
  
  732-264-4712 ext. 17
  roddystbenedictnj.org

New Parishioner Registration

If you prefer to download, print, and return the filled out registration form to the Parish Office: Click Here

Otherwise, please fill out the online form below and the Parish Office will process your registration.
To sign up for WeShare, please click here.
The maximum number of form submissions has been reached. This form is currently not available.
- Please make sure to fill out all required fields below in order to complete online registration. Mandatory fields include: Name, Email, Full Address and Sacraments for each person. Fields left blank will make the registration form incomplete and therefore will not be processed.
- Household Information
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Parish Pay Yes No
- Envelope Number Please enter valid data.
- Head of Household 1
- Title REQUIRED Mr. Mrs. Ms. Miss Dr. Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (if applicable) Please enter valid data.
- Sex REQUIRED Male Female Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Religious Denomination REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Married (Married in a Catholic Church) Married Civily Single Divorced Widowed Please fill out this field.
- Sacraments Received (Check All That Apply): REQUIRED Catholic Baptism First Communion Confirmation Please fill out this field.
- Head of Household 2
  (select "N/A" options below if there is no Head of Household 2)
- Title REQUIRED Mr. Mrs. Ms. Miss Dr. N/A Please fill out this field.
- Enter "None" in First Name and Last Name fields below if not applicable:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (if applicable) Please enter valid data.
- Sex REQUIRED Male Female N/A Please fill out this field.
- Birthdate (enter "N/A" if no Head of Household 2) REQUIRED Please fill out this field. Please enter valid data.
- Religious Denomination (enter "N/A" if no Head of Household 2) REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Married (Married in a Catholic Church) Married Civily Single Divorced Widowed N/A Please fill out this field.
- Sacraments Received (Check All That Apply): REQUIRED Catholic Baptism First Communion Confirmation N/A Please fill out this field.
- Child 1 Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Sex Male Female
- Birth Date Please enter a date.
- Religious Denomination Please enter valid data.
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- Attending Catholic School? Yes No
- Attending RE? Yes No
- Child 2 Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Sex Male Female
- Birth Date Please enter a date.
- Religious Denomination Please enter valid data.
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- Attending Catholic School? Yes No
- Attending RE? Yes No
- Child 3 Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Sex Male Female
- Birth Date Please enter a date.
- Religious Denomination Please enter valid data.
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- Attending Catholic School? Yes No
- Attending RE? Yes No
- Child 4 Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Sex Male Female
- Birth Date Please enter a date.
- Religious Denomination Please enter valid data.
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- Attending Catholic School? Yes No
- Attending RE? Yes No
- I understand that my weekly Mass attendance to fulfill the Sunday obligation can only be determined through the use of envelopes. Please click "I Agree" below.
  I Agree Please select this field.
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Register

Please make sure to fill out all required fields below in order to complete online registration. Mandatory fields include: Name, Email, Full Address and Sacraments for each person. Fields left blank will make the registration form incomplete and therefore will not be processed.

Household Information

Head of Household 1

Head of Household 2 (select "N/A" options below if there is no Head of Household 2)

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Head of Household 2
(select "N/A" options below if there is no Head of Household 2)