St. Margaret Mary Parish Registration Form

St. Margaret Mary Parish Registration

Please fill in the form below.
I am registering as*

New Parish MemberSchool-Only Member
Family Information

Please fill out as complete and accurately as possible for our records.
Family Name*

Salutation (Mr., Mrs., Ms., Dr., Mr. & Mrs., etc.)Last NameFirstMiddle
Only fill in Last Name if spouses have different Last Names

SalutationLast NameFirstMiddle
Primary Email*
If none, type "none"
Primary Phone*
If none, type "none"
Secondary Email
If none, type "none"
Secondary Phone
If none, type "none"
Do you want your information published in the Parish Directory?

YesNo
List phone number in the Parish Directory?

YesNo
Home Street Address*

Street Address

CityState

Zip Code plus 4Country
Marital Status

Please note: Registration as St. Margaret Mary's parishioner does not automatically guarantee a wedding at St. Margaret Mary's Church if registrants live outside the parish boundaries. If requesting a wedding at SMM Church, the pastor must be contacted at the time of parish registration. Call 402-558-2255 or email mkelly@smmomaha.org for information.
Marital Status
Canonically Married?

YesNo
Date of Wedding

MonthDayYear
Location of Wedding
Name of Church
Please list the City State of Wedding

Street Address

CityState / Province

Postal / Zip Code
Male Head of Household
Full Name

First NameMiddle NameLast Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Religion
Baptized?

YesNo
Church of Baptism
City, State where Baptized
Employer
Occupation
Primary Phone
Email
If none, type "none"
Female Head of Household
Full Name

First NameMiddle NameLast Name
Full Name (Line 2)
Maiden Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Religion
Baptized?

YesNo
Church of Baptism
City, State where Baptized
Employer
Occupation
Primary Phone
Email
If none, type "none"
Stewardship

In the Bible the Lord teaches us that He loves us, that He personally cares for us, and gives us all that we will ever need. In return He asks that we give back a portion of our gifts to show our dependence on Him and that we trust that He will continue to give us all that we need. This giving back is the "tithe" or 10% of our gifts. We give one half of our "tithe" to support our parish and the other half to support other charities throughout the year.
Please indicate your willingness to share a portion of your time, talent, and treasure for the good of St. Margaret Mary Parish.
My stewardship pledge is $ dollar amount a month.
For Sunday and charitable giving, we would like to use:

Church EnvelopesWeShare OnlineACH Automatic WithdrawalTo Be Determined
Publish Email?*

YesNoOther
Publish Phone Number?*

YesNoOther
Publish Address?*

YesNoOther
Please list children living in household

Child #1
Gender

MaleFemale
Full Name

First NameMiddle NameLast Name
Nickname or Perferred Name
If applicable
Birth Date

MonthDayYear
Baptized?

YesNo
Date of Baptism

MonthDayYear
Church where Baptized
Full Name of the Church where baptized
City/State where Baptized
City and State of Baptism
My child has received the following Sacraments:
Select all that apply
Current School
List N/A if not enrolled in school yet
City/State of Current School
List N/A if not enrolled in school yet
School District/Neighborhood Elementary School
List N/A if not enrolled in school yet

Child #2
Gender

MaleFemale
Full Name

First NameMiddle NameLast Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Baptized?

YesNo
Date of Baptism

MonthDayYear
Church of Baptism
If applicable
City/State where Baptized
City and State of Baptism
My child has received the following Sacraments:
Select all that apply
Current School
List N/A if not enrolled in school yet
City/State of Current School
List N/A if not enrolled in school yet
School District/Neighborhood Elementary School
List N/A if not enrolled in school yet

Child #3
Gender

MaleFemale
Full Name

First NameMiddle NameLast Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Baptized?

YesNo
Date of Baptism

MonthDayYear
Church of Baptism
If applicable
City/State where Baptized
City and State of Baptism
My child has received the following Sacraments:
Select all that apply
Current School
List N/A if not enrolled in school yet
City/State of Current School
List N/A if not enrolled in school yet
School District/Neighborhood Elementary School
List N/A if not enrolled in school yet

Child #4
Gender

MaleFemale
Full Name

First NameMiddle NameLast Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Baptized?

YesNo
Date of Baptism

MonthDayYear
Church of Baptism
If applicable
City/State where Baptized
City and State of Baptism
My child has received the following Sacraments:
Select all that apply
Current School
List N/A if not enrolled in school yet
City/State of Current School
List N/A if not enrolled in school yet
School District/Neighborhood Elementary School
List N/A if not enrolled in school yet

Child #5
Gender

MaleFemale
Full Name

First NameMiddle NameLast Name
Nickname or Preferred Name
If applicable
Birth Date

MonthDayYear
Baptized?

YesNo
Date of Baptism

MonthDayYear
Church of Baptism
If applicable
City/State where Baptized
City and State of Baptism
My child has received the following Sacraments:
Select all that apply
Current School
List N/A if not enrolled in school yet
City/State of Current School
List N/A if not enrolled in school yet
School District/Neighborhood Elementary School
List N/A if not enrolled in school yet
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St. Margaret Mary Parish Registration

Family Information

Marital Status

Male Head of Household

Female Head of Household

Stewardship

Please list children living in household