St. Mary of the Assumption Parish Registration Form

*********** This web page works better with JavaScript enabled. ***********
To see how to enable JavaScript, please visit https://www.enable-javascript.com/
Click Submit Form to send this information to St. Mary of the Assumption Catholic Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
Birth Date
*Gender Female   Male
  Language Marital Status
  Religion
  Occupation
  Employer
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
Remarks

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male
  Language Marital Status
  Religion
  Occupation
  Employer
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
  Email 2 Unlisted
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
Remarks

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted

  Pledges
  Pledge 1   Name Contributions
  Pledge for
  Start from    to   
  Frequency
  Total
  Rate

Total All Pledges = $0.00

  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male
  Language Marital Status
  Religion
Sacraments
   Baptism Date Place
   First Comm Date Place
   Confirm Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
Remarks


Click Submit Form to send this information to St. Mary of the Assumption Catholic Church.
 ↻ 

*Enter the characters shown in the image

St. Mary of the Assumption Catholic Church