Registration Form | St.Mary Catholic Church
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Thank you for registering with St. Mary & St. Joseph Catholic Community.
Registration Form
Church
St Mary Catholic Church
St. Joseph Catholic Mission
Family Last Name
Physical Street Address
City
State
ZIP Code
Mailing Address Same as Physical Address
Mailing Address
City
State
ZIP Code
Head of Household
First Name, Middle Initial, Last Name
Email
Phone
Maiden Name
Gender
Male
Female
Date of Birth
If Married, Date
Sacraments Received
Baptized:
Yes
No
First Penance:
Yes
No
First Eucharist:
Yes
No
Confirmation:
Yes
No
Spouse:
Yes
No
First Name, Middle Initial, Last Name
Maiden Name
Gender:
Male
Female
Date of Birth
If Married, Date
Please Circle:
Baptized:
Yes
No
First Penance:
Yes
No
First Eucharist:
Yes
No
Confirmation:
Yes
No
Cell Phone
Email
Number of Children
0
1
2
3
4
5
6
7
8
9
10
Child #
First Name, Middle Initial, Last Name
Maiden Name
Gender
Male
Female
Date of Birth
Please Circle
Baptized:
Yes
No
First Penance:
Yes
No
First Eucharist:
Yes
No
Confirmation:
Yes
No
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