St Mary's Parish Registration Form

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**BE SURE TO CLICK "SUBMIT" AFTER COMPLETING THIS FORM. Please complete this form to the best of your ability and for each member of your household. If you are unsure of a particular answer in a field, please leave it blank (or write "unknown") and continue moving through the form. Once submitted, a member of the parish staff will be in touch with you to review all of the details.

First Name *

Middle Name

Last Name *

Maiden Name (if applicable)

Email address
*

Verify Email address
*

Cell Phone
*

Street Address
*

City
*

State
*

Zip Code
*

Date of Birth
*

YYYY

Sex
*

Male

Female

Religion

Church of Baptism (Church, City, State)

Church of First Communion (Church, City, State)

Church of Confirmation (Church, City, State)

Marital Status
*

Single

Married

Widowed

Separated

Annulled

Other:

Church of Marriage (Church, City, State) if applicable. If you were not married in a Church, please list the location.

If not married in the Catholic Church, was it later blessed in the Church? If yes, where?

Have you ever been married or do you have a child/dependent?*
*

Yes (I have been married and/or have a child)

No (I have NOT been married and/or do not have a child)

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