St. Benedict Catholic Church

Crystal River, FL

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- St. Benedict Parish is happy to welcome you to our community of faith. We invite you to engage in the life of this vibrant Catholic community. There is something for everyone here at St. Benedict's - worship, prayer, service and many different ways to grow in fellowship, friendship and our beautiful Catholic Faith. We are so happy that you have chosen St. Benedict's as your faith community and spiritual home.
  
  Please fill out the registration below, or you can print a New Parishioner Registration Form to fill out at home, and drop it in the offertory basket on the weekend.
  
  God our heavenly Father, is yearning for a relationship with all his people.
  He's waiting for you with open arms, and so are we!
- The maximum number of form submissions has been reached. This form is currently not available.
  
  New Parishioner Registration
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Head of Household's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Head of Household's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Please choose one: REQUIRED Mr. Ms. Mrs. Dr. Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status Single Married Divorced Widowed
  
  Member type Permanent Residence Snowbird
  
  Street 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.
  
  Address 2 Maximum 20 characters Please enter a phone number.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Phone Type
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
  How many additional family members live with you? REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you: REQUIRED This is my Spouse/Partner This is my Daughter This is my son This is my mother This is my father Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you: REQUIRED This is my Spouse/Partner This is my Daughter This is my son This is my mother This is my father Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you: REQUIRED This is my Spouse/Partner This is my Daughter This is my son This is my mother This is my father Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
  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.
  
  Relationship to you: REQUIRED This is my Spouse/Partner This is my Daughter This is my son This is my mother This is my father Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
  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.
  
  Relationship to you: REQUIRED This is my Spouse/Partner This is my Daughter This is my son This is my mother This is my father Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Communion Confirmation Marriage
  
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New Parishioner Registration