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, please click here. Otherwise, please fill out the online form below and the Parish Office will process your registration.

To sign up for Parish Pay, 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 Please fill out this field. Please enter a phone number.
- Cell Phone Number Please enter a phone number.
- Parish Pay Yes No
- Envelope Number Please enter valid data.
- Head of Household 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.
- Sex REQUIRED Male Female Please fill out this field.
- Birthdate Please enter a date.
- Religious Denomination Please enter valid data.
- Marital Status Married (Married in a Catholic Church) Married Civily Single Divorced Widowed
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- Head of Household 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Sex Male Female
- Birthdate Please enter a date.
- Religious Denomination Please enter valid data.
- Marital Status Married (Married in a Catholic Church) Married Civily Single Divorced Widowed
- Sacraments Received (Check All That Apply): Catholic Baptism First Communion Confirmation
- 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.
Submit

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

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information