St. Mary&#039;s Parish Registration

Date REQUIRED Please fill out this field. Please enter a date.

Are you a new parishioner or updating information? REQUIRED Please fill out this field.

Family last name REQUIRED Please fill out this field. Please enter valid data.

Street Address or P.O. Box REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parishioner #1

Title REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Marital Status: REQUIRED Please fill out this field.

Marriage Date (if applicable): REQUIRED Please fill out this field. Please enter valid data.

Church where married: REQUIRED Please fill out this field. Please enter valid data.

Was the Marriage performed by a Roman Catholic Priest? REQUIRED Please fill out this field.

If not, did you receive Marriage Preparation with the Roman Catholic Church? REQUIRED Please fill out this field.

If no, have you since had your marriage recognized in the Catholic Church? REQUIRED Please fill out this field. Please enter valid data.

If no, have you since had your marriage recognized in the Catholic Church? REQUIRED Please fill out this field.

Former parish? (if applicable) Please enter valid data.

Occupation? (not required)

Please provide the name and date of the following Sacraments

Baptism REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

Penance REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

First Communion REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

Confirmation REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

Parishioner #2