Parish Registration Form

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To become a parishioner of Mary, Star of the Sea Church, please fill out this form. Please include all members of your family.

FAMILY LAST NAME: *

Last name only; individual members may be added below.

STREET ADDRESS: *

CITY, ST, ZIP: *

Please include all, i.e. La Jolla, CA 92037

PHONE: *

EMAIL ADDRESS: *

ETHNIC ORIGIN:

Please choose all that apply for household.

Anglo

Hispanic

Black

Filipino

Vietnamese

Korean

Asian

Other:

MARITAL STATUS: *

Married

Single

Divorced

Separated

Widowed

If married, did the marriage take place in the Catholic Church?

Yes

Clear selection

Would you like to receive envelopes for your weekly donations? *

Yes

I prefer to submit donations online. Please send me the information.

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