Parish Registration
Please fill out the following information for only those living in your household.
Family Last Name *
Your answer
First Name
(Male head of Household)
Your answer
His Birth Date
(mm/dd/yyyy)
Your answer
His Religion
His Occupation
Your answer
First Name
(Female Head of Household)
Your answer
Last Name
(if different then Family Last Name)
Your answer
Her Maiden Name
Your answer
Her Birth Date
(mm/dd/yyyy)
Your answer
Her Religion
Her Occupation
Your answer
Street Address *
House Number, Street Name, Apt Number
Your answer
City, State *
Your answer
Zipcode *
Your answer
Home Phone *
Your answer
Email Address
if this is provided, we will add it to our mailing list and/or use it for any billing.
Your answer
Mailing Address
PO Box or Street Address if different then above
Your answer
Mailing City, State
If different from above.
Your answer
Mailing Zipcode
If different from above.
Your answer
Marital Status *
Required
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Child's First Name
Your answer
Child's Last Name
If different then Family Last Name
Your answer
Male or Female?
Your answer
Child's Birth Date
mm/dd/yyyy
Your answer
Do you want to receive contribution envelopes on a regular basis?
Your contributions can be given electronicly or by check and still be recorded to your account.
Is anyone in your family an alumni of St. Mary School
Are you interested in information about our School?
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