Holy Spirit
Catholic Church

2309 Holder Road
Mims, Florida 32754
(321) 269-2282

Flocknote

Parish Registration -- Newcomer

- Welcome to Holy Spirit Mims! We need some information about you and your family. After completing this online form, click SUBMIT. Or you may register at church on Sunday or stop by the parish office during normal business hours. God bless you and your family!
- Holy Spirit Mims Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Residence Permanent, year-round Temporary, winter resident
  
  Home Address 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.
  
  Mailing Address (if different) 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.
  
  Weekly Offertory Preference
  Which option do you prefer to help support the parish?
  Envelopes (Cash or Check) Auto-pay/Billpay (Electronic)
  
  Home phone (land line) REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters
  Please include the area code in parenthesis.
  Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status
  If you were not married in the Catholic Church, consider making an appointment to discuss Marriage Convalidation.
  Single Married - Civil Married - Catholic Church Widowed Separated Divorced and Annulled Divorced (not annulled)
  
  Date of Marriage REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Business Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments Received
  Select sacraments received
  Baptism First Communion & Reconciliation Confirmation Matrimony Anointing of the Sick
  
  Mass Attendance Daily Weekly Occasional Christmas and Easter Seldom
  
  Number of Additional Family Members REQUIRED Please fill out this field.
  
  Family Member 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.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Family Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household REQUIRED Spouse Son or Daughter Stepson or Stepdaughter Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Name of School or Employer Please enter valid data.
  
  Current Grade or Occupation Please enter valid data.
  
  Religious Affiliation Catholic Other Christian denomination Non-Christian denomination None
  
  Sacraments received Baptism First Communion Confirmation
  
  Church of Baptism 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.
  
  Our small parish relies on the time, talent and treasure of all parishioners to thrive. Please check at least one ministry that you may give of your time, talent or treasure!
  
  Liturgical Ministry:
  * Requires pastor approval and/or special training.
  Altar Server (Adult: Acolyte) Lector Usher or Greeter *Extraordinary Minister of Holy Communion *Sacristan St. Clare Society (care of our altar linens) Art & Environment
  
  Music Ministry:
  * Requires pastor approval and/or special training.
  Choir Pianist Song leader Guitar or other instrument Cantor
  
  Ministry of Mercy:
  * Requires pastor approval and/or special training.
  *Visiting the Sick *Hospital Visit *Nursing Home Visit Pro-Life *Bereavement *Transportation
  
  Prayer Ministry:
  * Requires pastor approval and/or special training.
  Adoration of the Blessed Sacrament Eucharistic Rosary Prayer group member Liturgy of the Hours
  
  Ministry to the Needy:
  * Requires pastor approval and/or special training.
  Food pantry Thanksgiving baskets Christmas Wish Tree
  
  Organizations:
  * Requires pastor approval and/or special training.
  Council of Catholic Women Knights of Columbus - Our Lady of Space Council *Cursillo/Ultreya
  
  Helping Hands Ministry:
  * Requires pastor approval and/or special training.
  Coffee and Donuts Church cleaning crew Seder Supper Post Office Food Drive Christmas Parade(s) Parish Work Day Thanksgiving Dinner
  
  Administrative Helpers:
  * Requires pastor approval and/or special training.
  Phones/clerical helper in the parish office *Collection Counter Maintenance helper (floors, restrooms)
  
  Communication Ministry:
  * Requires pastor approval and/or special training.
  Bulletin preparation Social Media posts Website maintenance Phone tree
  
  Technology Ministry:
  * Requires pastor approval and/or special training.
  Powerpoint clicker - 4pm Mass Powerpoint clicker - 8:30am Mass Powerpoint clicker - 11am Mass
  
  Faith Formation:
  * Requires pastor approval, and/or fingerprinting and Safe Environment Training.
  *Adult small group facilitator *Catechist/Aide (grade K-5) *Aide/Catechist (grade K-5) *Life Teen Core Team member *Edge Core Team member *Chaperone for parish events *Chaperone for diocesan events *Vacation Bible School *RCIA catechist RCIA sponsor RCIA Reception after Easter Vigil *Library Aide
  
  Attic Shop - parish thrift store
  * Requires pastor approval and/or special training.
  *Assistant manager *Cashier *Stock preparation *Cleaning (floors, windows, restrooms) Website & Social Media postings
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.