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

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Preferred method of address for communication purposes

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

Answer Required

Date of birth

Answer Required

Email*

Answer Required

Phone number*

Number Required

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Religion*

Answer Required

Occupation*

Answer Required

If yes, in what year did you graduate?

Answer Required

Spouse Information (if applicable)

First Name

Answer Required

Middle Name

Answer Required

Last Name

Answer Required

Date of Birth

Answer Required

Phone

Number Required

Spouse Religion

Answer Required

Spouse Occupation

Answer Required

If yes, in which year did they graduate?

Answer Required

Child Information (if applicable)

Child 1 First Name

Answer Required

Child 1 Middle Name

Answer Required

Child 1 Last Name

Answer Required

Child 1 Date of Birth

Answer Required

Child 1 Gender

Answer Required

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

Answer Required

Child 2 First Name

Answer Required

Child 2 Middle Name

Answer Required

Child 2 Last Name

Answer Required

Child 2 Date of Birth

Answer Required

Child 2 Gender

Answer Required

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

Answer Required

Please provide the names and ages of any other children

Answer Required

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

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

Answer Required

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

Choose a file or drag it here.

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