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If you don't get a confirmation message after you hit "SUBMIT", you may have left off a required piece of information. Please review the form for indicated fields. It is great to have you as a member of our family!

Family (Last) Name*
Address*
Street Address Address Line 2 City State ZIP Code
Name of Residential Complex or Neighborhood*
Do you live in South West Florida full time?*
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Second Address
Street Address City State / Province / Region ZIP / Postal Code Country
Second Address Home Phone
Months at Second Address
Home Phone*
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COMMUNICATIONS PREFERENCES*
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Please fill out the following information about YOURSELF
First Name*
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Date of Birth*
Month
Day
Year
Baptized by a Catholic Priest?*
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Eucharist*
- Yes
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Confirmed*
- Yes
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Marital Status*
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Spouse's Name
Cell Phone (Additional)
Married by a Priest
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Marriage Date
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Day
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Occupation/ Own Business
Giving Preferences*
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Please fill out the following information about your SPOUSE.
First Name
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Date of Birth
Month
Day
Year
Baptized by a Catholic Priest
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Eucharist
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Confirmed
- Yes
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Occupation / Own Business
Do you have any children living at home under the age of 21?*
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Information on Child #1
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Month
Day
Year
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
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Confirmed*
- Yes
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Name of School*
Grade*
Do you have more children Under the Age of 21?*
- Yes
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Information on Child #2
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Month
Day
Year
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
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Name of School*
Grade*
Do you have EVEN more children Under the Age of 21?*
- Yes
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Information on Child #3
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Month
Day
Year
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
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Confirmed*
- Yes
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Name of School*
Grade*
Do you have still more children Under the Age of 21?*
- Yes
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Information on Child #4
Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Month
Day
Year
Baptized by a Catholic Priest*
- Yes
- No
Eucharist*
- Yes
- No
Confirmed*
- Yes
- No
Name of School*
Grade*
Emergency Contact (other than spouse)*
First Last
Emergency Contact Phone Number*
Relationship*

Discover your Gifts

Our Church

1922 SW 20th Ave. Cape Coral, FL 33991

Office: Monday–Friday 8:30am – 4:30pm

Telephone: (239) 283-9501
Fax: (239) 283-9502
Email: office@drexelcc.org

Faith Formation

CCD, OCIA, Confirmation, VBS & Bible Study

(Office closed on Fridays)

Telephone: (239) 283-0525
Email: rose@drexelcc.org

“Ours is the Spirit of the Eucharist, the total Gift of Self.”

-Saint Katharine Drexel

I’m New
About Us
Sacraments
Our Pillars
Resources
Giving