Become a Parishioner

Thank you for your interest in becoming a parishioner of Saint Juliana Parish! Please fill out the form below, and we'll be in touch. We thank you again for your interest, and we look forward to connecting with you. Feel free to reach out to our parish office at 773.631.4127 with any questions.

Contact Information

Honorific

i.e. Ms., Mrs., Mr., Dr.

Answer required for "Honorific"

First Name*

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Preferred method of address for communication purposes

i.e. John and Mary, Mr. and Mrs. Smith, Ms. Jones; nickname

Answer required for "Preferred method of address for communication purposes"

Date of birth

Answer required for "Date of birth"

Email*

Answer required for "Email"

Phone number*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Religion*

Answer required for "Religion"

Occupation*

Answer required for "Occupation"

If yes, in what year did you graduate?

Answer required for "If yes, in what year did you graduate?"

Spouse Information (if applicable)

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Date of Birth

Answer required for "Date of Birth"

Answer required for "Email"

Phone

Number Required

Spouse Religion

Answer required for "Spouse Religion"

Spouse Occupation

Answer required for "Spouse Occupation"

If yes, in which year did they graduate?

Answer required for "If yes, in which year did they graduate? "

Child Information (if applicable)

Child 1 First Name

Answer required for "Child 1 First Name"

Child 1 Middle Name

Answer required for "Child 1 Middle Name"

Child 1 Last Name

Answer required for "Child 1 Last Name"

Child 1 Date of Birth

Answer required for "Child 1 Date of Birth"

Child 1 Gender

Answer required for "Child 1 Gender"

If yes, please provide the name of the church and date

Answer required for "If yes, please provide the name of the church and date"

Child 2 First Name

Answer required for "Child 2 First Name"

Child 2 Middle Name

Answer required for "Child 2 Middle Name"

Child 2 Last Name

Answer required for "Child 2 Last Name"

Child 2 Date of Birth

Answer required for "Child 2 Date of Birth"

Child 2 Gender

Answer required for "Child 2 Gender"

If yes, please provide the name of the church and date

Answer required for "If yes, please provide the name of the church and date"

Please provide the names and ages of any other children

Answer required for "Please provide the names and ages of any other children"

Sunday Giving Committment

If you would like to receive envelopes in the mail, please specify adressee

i.e. John and Mary Smith, Mr. and Mrs. Smith, Ms. Jones, Mr. John Jones

Answer required for "If you would like to receive envelopes in the mail, please specify adressee"

Which other groups or ministries are you hoping to join or learn more about?

Answer required for "Which other groups or ministries are you hoping to join or learn more about?"

Upload a picture of yourself and/or your family

We highly encourage you to upload a photo. Pictures help our priests, staff, and key leaders identify who you are to better welcome you to the parish!

Answer required for "Upload a picture of yourself and/or your family"

Choose a file or drag it here.

I consent to having our family name (i.e. "The Smith Family") printed in the parish bulletin as a "Welcome to the Parish" item*

Answer required for "I consent to having our family name (i.e. \"The Smith Family\") printed in the parish bulletin as a \"Welcome to the Parish\" item"

Yes

Anything else you'd like us to know?

Answer required for "Anything else you'd like us to know?"

Our text-to-give number is

773-358-2471

Text the keyword SUNDAY to make an offertory gift

You can also click here to use your browser:

Donate

Please fix the highlighted areas below before submitting.

Become a Parishioner

Our text-to-give number is