Family Name

Home Phone Number

Work/Cell Phone Number

 

 

 

Street Address

City

Zip Code

 

 

 

E-Mail Address

Additional Information/Special Needs

Date of Registration

 

 

 

 

First Name

Initial

Maiden

Birth Date

Catholic

Single

Married

Widowed

Divorced

Separated

Sacraments

Month

Day

Year

Yes

No

Baptism

First

Communion

Confirmed

Male

Adult

 

 

XXXXXXXXX

 

 

 

 

 

 

 

 

 

 

 

 

 

Female Adult

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male Employer

Occupation

Religion (if not Catholic)

 

 

 

Female Employer

Occupation

Religion (if not Catholic)

 

 

 

Date of Marriage

Church of Marriage – City/State

Marriage by Priest or Deacon

 

 

 

Child Age 20* and under at last birthday

Date of Birth

Catholic

Baptized

First

Communion

Confirmed

St. Mary School Student

M
F

*Children over 20 are considered adults and should be registered independently.

First Name                              Last if different

Month

Day

Year

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Previous Parish Registered in or Attended Regularly

Nursery Needed?

Date of Registration

Person completing this Form

 

Yes              No

 

 

Time and Talent: Please mark M for male, F for female, and C for child.                                                                                                         __ I am interested in joining a Bible Study

__ Building Maintenance                   __ Greeter/Usher                                __ Evangelization Committee                           __ Baptism Team                                                __ Bingo Worker

__ Landscape Maintenance             __ Lector                               __ Welcoming Committee                                                __ Marriage Team                                __ Festival Worker

__ RCIA Sponsor                                                __ Server                               __ Social Concerns Committee                       __ Youth Ministry                                 __ Christmas Tree Sales

__ Vocal/Instrumental Musician       __ Sacristan                         __ Nursery Volunteer                                          __ Coffee & Donuts                            __ School Volunteer

__ Knights of Columbus                    __ Extraordinary Minister   __ Visit the Homebound                                    __ Young at Heart                               _______________________other

Please complete this form and return it in the collection basket or parish office.  Welcome to St. Mary’s!