New Member Contact Form - St. Helen Catholic Church

12060 Kinsman Rd., Newbury, OH | 440-564-5805 | Livestream | Bulletin | Mass Times | Search
Mass Times: Saturday 5:00 p.m. | Sunday 8:30 a.m., 11:15 a.m., 5:00 p.m. | Weekdays 8:00 a.m.

About
Parish Life
Ministries
Sacraments
Faith Formation
LIFE TEEN
School

About
Parish Life
Ministries
Sacraments
Faith Formation
LIFE TEEN
School

Membership Application

1. Fill in all information as completely as possible
2. All answers will be kept confidential

* Indicates required field

Today's Date *

Name *

First

Last

Phone Number *

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (If different from Street Address) *

Line 1

Line 2

City

State

Zip Code

Country

Male

Name *

First

Last

Date of Birth *

Cell Phone *

Email *

Religion if not Catholic *

Foreign Language *

Employer, Company Name, Position Held *

Marital Status *

Sacraments *

Baptism Communion Confirmation Married by a Priest Married Convert Holy Orders

Church of Baptism *

Church of Communion *

Church of Confirmation *

Church of Marriage *

Female

Name *

First

Last

Date of Birth *

Cell Phone *

Email *

Religion if not Catholic *

Foreign Language *

Employer, Company Name, Position Held *

Marital Status *

Sacraments *

Baptism Communion Confirmation Married by a Priest Married Convert Holy Orders

Church of Baptism *

Church of Communion *

Church of Confirmation *

Church of Marriage *

Members Living in Your Household if Not Registered Separately

#1

Name *

First

Last

Gender *

Date of Birth *

Present School & Grade OR Employer *

Sacraments *

Baptism Communion Confirmation

Church of Baptism *

Church of Communion *

Church of Confirmation *

#2

Name *

First

Last

Gender *

Date of Birth *

Present School & Grade OR Employer *

Sacraments *

Baptism Communion Confirmation

Church of Baptism *

Church of Communion *

Church of Confirmation *

#3

Name *

First

Last

Gender *

Date of Birth *

Present School & Grade OR Employer *

Sacraments *

Baptism Communion Confirmation

Church of Baptism *

Church of Communion *

Church of Confirmation *

#4

Name *

First

Last

Gender *

Date of Birth *

Present School & Grade OR Employer *

Sacraments *

Baptism Communion Confirmation

Church of Baptism *

Church of Communion *

Church of Confirmation *

#5

Name *

First

Last

Gender *

Date of Birth *

Present School & Grade OR Employer *

Sacraments *

Baptism Communion Confirmation

Church of Baptism *

Church of Communion *

Church of Confirmation *

Parish Information

Family Member(s) who wish to receive communion at home *

Family Member(s) who have special needs *

If you have children, would you like information about St. Helen School? *

Yes No

If you have children, would you like information about our PSR/EDGE or Life Teen program? *

Yes No

Would you like information on the various ministries available at St. Helen Church? *

Yes No

Is there anything else you would like us to know or any questions we can answer for you? *

Submit

Please consider completing the Ministries/Talents form to become involved with the parish.

Ministries/Talents Form

Parish Office Contact Information
12060 Kinsman Rd.
Newbury, Ohio 44065
440-564-5805

Bulletin Submissions
[email protected]

Weekend Mass Schedule

Saturday Vigil: 5:00 p.m.
Sunday: 8:30 & 11:15 a.m.
Sunday Evening: 5:00 p.m.
Lifeteen Program following Sunday evening Mass: September through May

Weekday Mass Schedule

Mon-Sat: 8:00 a.m.

Confession

Saturday: 3:30 p.m. - 4:30 p.m.