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Fill Out our Membership Form

Family (Last) Name*
Address*
Street Address Address Line 2 City State ZIP Code
Name of Residential Complex or Neighborhood*
Do you live in South West Florida full time?*
- Yes
- No
Second Address
Street Address City State / Province / Region ZIP / Postal Code Country
Second Address Home Phone
Months at Second Address
Home Phone*
Email*
COMMUNICATIONS PREFERENCES*
- I would like to be added to the parish weekly email, The Seton Spectator, in English.
- I would like to be added to the parish weekly email, The Seton Spectator, en Espanol.
- Please do not add me.
We use Flocknote to communicate! Please select the way you'd like to be reached:
Please fill out the following information about YOURSELF
First Name*
Cell Phone
Gender*
- Male
- Female
Date of Birth*
Baptized by a Catholic Priest?*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Marital Status*
- Single
- Married
- Widowed
- Divorced
Spouse's Name
Cell Phone (Additional)
Married by a Priest
- Yes
- No
Marriage Date
Occupation/ Own Business
Giving Preferences*
- I'm interested in online giving
- I would like an annual box of envelopes
Please fill out the following information about your SPOUSE.
First Name
Gender
- Male
- Female
Date of Birth
Baptized by a Catholic Priest
- Yes
- No
Eucharist
- Yes
- No
Confirmed
- Yes
- No
Occupation / Own Business
Do you have any children living at home under the age of 21?*
- Yes
- No
Information on Child #1
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have more children Under the Age of 21?*
- Yes
- No
Information on Child #2
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have EVEN more children Under the Age of 21?*
- Yes
- No
Information on Child #3
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Do you have still more children Under the Age of 21?*
- Yes
- No
Information on Child #4
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Emergency Contact (other than spouse)*
First Last
Emergency Contact Phone Number*
Relationship*

Reach Out, Connect

5260 28th Ave SW, Naples, FL 34116
P 239-455-3900

Parish Office Hours
M-F 9:00am – 4:00pm

Faith Formation Hours
M, W, F 8:30am – 5:30pm
Tues 12:00pm – 6:00pm
Thurs 9:00am – 4:00pm

© 2024 St. Elizabeth Seton Catholic Church. Site by Damian Hanley Inc.

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Prayer Wall
Worship Aid
About
News & Bulletins
- Parish Mission 2024
Contact
ONLINE GIVING