Saint Mary Our Lady of Grace Parish Registration Form

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****PLEASE WRITE ALL INFORMATION CLEARLY and include any apartment/unit number****

If you do not have an answer or need to leave a space blank, please put N/A in that field

Email *

Full Name of Head of House (First, Middle, Last) *

Title of Head of House (Mr, Mrs, Ms, Dr, etc.) *

Nick Name of Head of House *

Gender of Head of House *

Date of Birth of Head of House *

Religion of Head of House *

Baptized (Yes/No) and Faith of Head of House *

Reconciliation/Confirmation (Yes/No) of Head of House *

First Communion (Yes/No) of Head of House *

Marriage Date (MM/DD/YYYY) of Head of House *

Language(s) Spoken of Head of House *

Disability of Head of House (if applicable) *

Employer & Occupation of Head of House *

Full Name of Spouse (if applicable) (First, Middle, Last) *

Title of Spouse (Mr, Mrs, Ms, Dr, etc.) *

Nick Name of Spouse *

Gender of Spouse *

Date of Birth of Spouse *

Religion of Spouse *

Baptized (Yes/No) and Faith of Spouse *

Reconciliation/Confirmation (Yes/No) of Spouse *

First Communion (Yes/No) of Spouse *

Marriage Date (MM/DD/YYYY) of Spouse *

Language(s) Spoken of Spouse *

Disability of Spouse (if applicable) *

Employer & Occupation of Spouse *

Full Name of Children Under the Age of 21 (if applicable) (First, Middle, Last) *

Gender of Children Under the Age of 21 (if applicable) *

Date of Birth of Children Under the Age of 21 (if applicable) *

Religion of Children Under the Age of 21 (if applicable) *

Baptized (Yes/No) and Faith of Children Under the Age of 21 (if applicable) *

Reconcilliation/Confirmation (Yes/No) of Children Under the Age of 21 (if applicable) *

First Communion (Yes/No) of Children Under the Age of 21 (if applicable) *

Marriage Date of Children Under the Age of 21 (if applicable) *

Please indicate the form of stewardship you wish to share *

Yes Please Send Me Envelopes

No Please Do Not Send Me Envelopes

Electronic Giving

Other:

Required

Email (Head of House) *

Mailing Address *

If a seasonal resident, please list your mailing address and dates at this address *

Home Phone number

Cell Phone number

Form Completion Notice:

You consent to receive emails/text messages from Saint Mary Our Lady of Grace by indicating your email address and phone number

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