PARISH REGISTRATION FORM
St. Mary's Roman Catholic Church, 62 Warren St., Glens Falls, NY 12801
Are You...?
*
NEW to St. Mary's Church
UPDATING your existing parish record
Head of Household
Head of Household's Name
*
Mr.
Mrs.
Ms.
Miss
Dr.
none
Prefix
First Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Email Address
*
Preferred Phone Number
*
Phone Type
*
Cell Phone
Land Line
Preferred method of communication
*
E-Mail
Text
US MAIL
Would you like to receive envelopes?
*
Yes
No
The Evangelist newspaper (it's FREE)
*
I currently receive The Evangelist
I would like to receive The Evangelist
I do not wish to receive The Evangelist
SACRAMENTS received by Head of Household
Church/City/State
Baptism
1st Communion
Confirmation
Marriage
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Would you like to register a spouse?
*
Yes
No
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Spouse's Information
Spouse's Name
*
Mrs.
Mr.
Ms.
Dr.
Prefix
First Name
Last Name
Suffix
Spouse's Date of Birth
*
-
Month
-
Day
Year
Date
Spouse's Email
example@example.com
Spouse's cell phone
Spouse's SACRAMENTS
Church/City/State
Baptism
1st Communion
Confirmation
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Are there any children in this household whom you wish to register?
*
Yes
No
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Children in Household
First&Last Name of Child
Sex (M/F)
Date of Birth
location of Baptism
location of 1st Communion
location of Confirmation
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
Child #7
Child #8
Child #9
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Family Needs / Additional Info.
Please use the box below to let us know if anyone has special needs to which we should be attentive or if there is anything else we should know that wasn't covered in the previous questions.
Additional Information
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St. Mary's Ministry Volunteer Opportunities
Check all that anyone in your household might have an interest in joining and would like more information about:
Altar Server
Eucharistic Minister
Lector
Live Stream Team
Music Ministry
Usher/Greeter
Welcome Desk
Buildings & Grounds Team
Fellowship/Hospitality Team
Outreach Ministry
Pastoral Council
Prayer & Worship Team
RCIA Team
Youth Group
Submit
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