St. Martin of Tours Parish Registration Form

St. Martin of Tours Parish Registration Form
Welcome and thank you for your interest in registering with our Parish. We know that you will find not only a Parish but also a home here. For almost 100 years, the St. Martin of Tours Parish has been building a welcoming community of love and mutual respect through our liturgical, spiritual, educational and social ministries where all can grow in their relationship with God. We look forward to your presence as we gather to pray and worship as a community.
Contact us if you have any questions:

40 Seaman Avenue - Bethpage, NY 11714

Phone: 516-931-0818 Fax: 516-931-0559

Email: smtbethpageparish@gmail.com
New or Existing Member/Family?*

New Member/FamilyExisting Member/Family
Previous Parish
Only if New Member/Family
Previous Parish City/State
Only if New Member/Family
Most likely Mass to Attend*
Family Last Name*
How do you want Parish mailings to be addressed?*
Ex: Mr. & Mrs. John Smith, Dr. & Mrs. John Smith, John & Mary Smith, Ms. Mary Smith
Do you want Parish Donation envelopes mailed to your home?*

YesNo
Family Main Phone (Home or Cell)*
Family Main E-mail
If no email address, just leave blank. Note: This email address will be added to our Parish Email list. You can opt out when they are received if desired.
Family/Main Cell Phone*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Language Spoken at Home*
Head of Household
Head of Household Full Name*

PrefixFirst NameMiddle NameLast Name
Nickname/Preferred Name
If applicable
Maiden Name
If applicable
Sex*

MaleFemale
Marital Status*
Married in the Catholic Church?

YesNo
Marriage Date

MonthDayYear
Birth Date*

MonthDayYear
Main Phone (Home or Cell)*
E-mail
example@example.com
Occupation*
If retired, type "Retired" & include prior primary occupation.
Baptized?*

YesNo
As a Catholic?

YesNo
Received First Holy Communion?*

YesNo
Received Penance/First Reconciliation?*

YesNo
Received Confirmation?*

YesNo
If not fully initiated in the Catholic Church, is Head of Household interested in RCIA, the Rite of Christian Initiation of Adults? (Being Baptized, receiving First Holy Communion/Eucharist, and/or being Confirmed?)

YesNo
If interested in becoming Catholic or interested in being fully initiated in the Catholic Church through RCIA, what is his/her current Religion?
Spouse
Spouse Full Name

PrefixFirst NameMiddle NameLast Name
Nickname/Preffered Name
If applicable
Maiden Name
If applicable
Sex

MaleFemale
Main Phone (Home or Cell)
E-mail
Birth Date

MonthDayYear
Occupation
If retired, type "Retired" & include prior primary occupation.
Baptized?

YesNo
As a Catholic?

YesNo
Received First Holy Communion?

YesNo
Received Penance/First Reconciliation?

YesNo
Received Confirmation?

YesNo
If not fully initiated in the Catholic Church, is Spouse interested in RCIA, the Rite of Christian Initiation of Adults? (Being Baptized, receiving First Holy Communion/Eucharist, and/or being Confirmed?)

YesNo
If interested in becoming Catholic or interested in being fully initiated in the Catholic Church through RCIA, what is his/her current Religion?
Do you have a Child/Children living at home?*

YesNo
Child/Children (Living at Home)

Continue...
Is anyone in the family Homebound & would like to receive Communion at home?

YesNo
Name of Homebound Family Member
Please verify that you are a human & not a robot.*
Should be Empty:

St. Martin of Tours Parish Registration Form

Head of Household

Spouse

Child/Children (Living at Home)