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
Name and location of previous parish
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Household General Information
Household Surname (Last Name)
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Preferred Email Address for Household
*
Preferred Phone Number for Household
*
Phone Type
*
Cell Phone
Land Line
Preferred method of communication
E-Mail
Text
Financial contributions
*
Please send envelopes for weekly donations
Donations will be given online
Other
The Evangelist newspaper (St. Mary's parish covers the cost)
*
I currently receive The Evangelist
I would like to receive The Evangelist
I do not wish to receive The Evangelist
ADULT #1
Adult #1 Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prefix
First Name
Last Name
Suffix
Maiden Name (if applicable)
Date of Birth
*
-
Month
-
Day
Year
Date
Current Marital Status
Single
Married
Divorced
Widowed
Religious Denomination (change entry if not Catholic)
*
SACRAMENTS received by Head of Household
Rows
Church/City/State
Baptism
1st Communion
Confirmation
Marriage
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Would you like to register another adult?
*
Yes
No
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ADULT #2
Adult #2 Name
*
Mrs.
Mr.
Ms.
Dr.
Prefix
First Name
Last Name
Suffix
Maiden Name (if applicable)
Current Marital Status
Single
Married
Divorced
Widowed
Date of Birth
*
-
Month
-
Day
Year
Date
Email
example@example.com
Cell phone
ADULT #2 SACRAMENTS
Rows
Church/City/State
Baptism
1st Communion
Confirmation
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Are there any children in this household whom you wish to register? (Adult children should complete their own registration form)
*
Yes
No
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Children in Household
Rows
Name (first/last)
Gender (m/f)
Date of Birth
School Attending
Grade
Baptized
1st Communion
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 about your household 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
Technology Team
Music Ministry
Usher/Greeter
Buildings & Grounds Team
Hospitality / Coffee Hour Team
RCIA Team
Office Volunteer
Next Generation (Faith Formation)
Food Pantry
Heavy Lifters
Small Group Host
Works of Mercy & Social Justice
Homebound visitors
Church Cleaning Team
Communications
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Should be Empty: