St. Mary`s Parish Registration Form	Date:2012-05-20 03:08:42

1. Adult Information

Adult name (First/Last) Title (Ex. Mr, Mrs, Ms, Dr, etc) Birth Date (mm/dd/yyyy) Religion Email (to keep you informed of Parish events) Cell/Business Phone Occupation Marital Status S=Single M=Married D=Divorced W=Widowed

Mailing Address: City/Zip: Home Phone: Please contact me with information about preparint to receive sacraments as an adult: Baptism Eucharist Reconciliation Confirmation or Marriage Envelope preferences: Weekly Monthly Quarterly In the Parish Directory, may we list your address: Yes No and Phone Number Yes No

We attempt to accommodate the needs all of people. If any family member has a medical condition or special need that we should be aware of, please contact the Parish Office.

2. Child/Youth information of children living at home (for parish records)

Child or Youth Name (First/Last) Birth Date (mm/dd/yyyy) Gender Grade School Attending Youth Email (Grade 6-12 only) (Used to keep you informed of youth ministry events) Indicate Sacraments Received MF Bap.Euc.Rec.Con. MF Bap.Euc.Rec.Con. MF Bap.Euc.Rec.Con. MF Bap.Euc.Rec.Con. MF Bap.Euc.Rec.Con.

3. Getting Involved: Please check the ministries below that interest you and we will contact you with more information

Liturgical Ministries Eucharistic Minister, Lector, Usher, Altar Servers, Decorating Church, Furnishing Flowers, Arranging Flowers, Music: Adult Choir Faith Formation Children`s Ministry Classroom Helper or Teacher, Youth Ministry, Adult Ministries: Bible Studies, Retreats, Knights of Columbus, Altar Society, Hispanic Prayer Group Outreach Ministries Welcoming Committee, Visiting Sick/Homebound, Food Prep. for Funerals Sharing Your Talents Carpentry, Plumbing, Electrical, Painting, Concrete, Computers, Landscape Maintenance, Other Special Projects, General Office Help

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