Parish Registration Form – Saint Elizabeth Ann Seton

IMPORTANT: Please note that if you are looking to register as a new parishioner to our parish but are outside of the 22192 zip code, YET are within the boundaries of Holy Family, Sacred Heart, St. Francis of Assisi, St. Mary of Sorrows, or Our Lady of Angels Catholic Churches, you must request a letter of approval from your pastor and submit it to our Parish Office. If you are awaiting your letter of approval, you may still proceed to register for Family Faith Formation.

Our parish community welcomes you! Please tell us more about yourself (and your family) by completing our online registration form below OR by clicking here to print the PDF version. The personal information we receive on your registration form is CONFIDENTIAL.

Once your form is completed, we will be in touch. We can’t wait to connect you to all that our parish offers!

Questions? Please contact Violet LaVille by email or call (703) 494-4008 ext 133.

Today's Date*
Month
Day
Year
Family Information
Family Surname:*
Address:*
City:*
State:*
Zip:*
Primary Phone*
Cell Phone
Primary Email Address:*
Secondary Email Address:
Member Information
First Name:*
MI:
Last Name:*
Birthdate*
Month
Day
Year
Gender:*
- Male
- Female
Maiden Name:
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:*
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email:
Occupation:
Spouse
First Name:
MI:
Last Name:
Birthdate:
Month
Day
Year
Gender:
- Male
- Female
Maiden Name:
Religious Denomination:
Baptismal Status:
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:
- Yes
- No
Confirmed Catholic:
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Occupation:
Additional Family Members
Add a family member?
- Yes
Family Member Information (1):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (2):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (3):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:*
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (4):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (5):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (6):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (7):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (8):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (9):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (10):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (11):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (12):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (13):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (14):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Add another family member:
- Yes
Family Member Information (15):
First Name:*
MI:
Last Name (if different):
Birthdate:*
Month
Day
Year
Gender:*
- Male
- Female
Relationship to you/Head of Family:*
Religious Denomination:*
Baptismal Status:*
- Catholic
- Convert
- Protestant
- Not Baptized
Eucharist:*
- Yes
- No
Confirmed Catholic:*
- Yes
- No
Marriage Status:
- Single
- Catholic Marriage
- Other Marriage
- Widowed
- Divorced
Email Address:
Ministries / Groups / Talents
Please check areas of interest
Liturgy & Music
- E.M.H.C.
- Lector
- Usher
- Altar Server
- Choir / Cantor
- Greeter
- Eucharistic Adorers
- Nursery Volunteer
- Service / Outreach
Prayer Groups
- Legion of Mary
- Divine Mercy Cenacle
- Mother of Joy / Charismatic
- Blue Army
- Seven Sisters Apostolate
Family Faith Formation
- K - 8 Catechist + Aide
- Adult Faith Formation
- Youth Ministry
Various Groups
- Silver Foxes (55+)
- Seton Crafters
- Respect Life
- Arbor Committee
Various Groups (Cont.)
- Knights of Columbus
- Men's Group
- Women's Group
- Moms' Group
Various Groups (Cont.)
- Office Volunteer
Other:
Would you like a copy of your parish registration form?*
- Yes, send it to my primary email.
- No.

Family Information

Member Information

Spouse

Additional Family Members

Family Member Information (1):

Family Member Information (2):

Family Member Information (3):

Family Member Information (4):

Family Member Information (5):

Family Member Information (6):

Family Member Information (7):

Family Member Information (8):

Family Member Information (9):

Family Member Information (10):

Family Member Information (11):

Family Member Information (12):

Family Member Information (13):

Family Member Information (14):

Family Member Information (15):

Ministries / Groups / Talents