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St. Mary's School

Parish Registration

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Parish Registration

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Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Information

Date

Street Address

City

State

Zip

Would you like to receive contribution envelopes?

Yes

No

Do you live in the area year round or seasonally?

Year Round

Seasonally

May we share your personal information with our Parish Ministries?

Yes

No

Preferred Language

English

Spanish

Marital Status

Single

Married

Widowed

Marriage Information

Name of Church

Church City

Wedding Date

Title

Husband/Head of Household - First Name

Husband/Head of Household - Last Name

Husband/Head of Household - Primary Phone Number

Husband/Head of Household - Additional Phone Number

Husband/Head of Household - Email Address

Receive Parish Emails?

Yes

No

Husband/Head of Household - Date of Birth

Husband/Head of Household - Occupation

Husband/Head of Household - Sacraments Completed

Baptism

1st Communion

Confirmation

Husband/Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

Title

Spouse - First Name

Spouse - Last Name

Spouse - Primary Phone Number

Spouse - Additional Phone Number

Spouse - Email Address

Receive Parish Emails?

Yes

No

Spouse - Date of Birth

Spouse - Occupation

Spouse - Sacraments Completed

Baptism

First Communion

Confirmation

Spouse - Church of Baptism

City

State

Additional Notes (If Applicable)

Child 1 - First Name

Middle Initial

Last Name

Child 1 - Gender

Child 1 - Date of Birth

Child 1 - Grade

Child 1 - Sacraments Completed

Baptism

1st Communion

Confirmation

Child 1 - Baptism Date

Child 1 - First Communion Date

Child 1 - Confirmation Date

Child 1 - Church of Baptism

City

State

Additional Notes (If Applicable)

Child 2 - First Name

Middle Initial

Last Name

Child 2 - Gender

Child 2 - Date of Birth

Child 2 - Grade

Child 2 - Sacraments Completed

Baptism

1st Communion

Confirmation

Child 2 - Baptism Date

Child 2 - First Communion Date

Child 2 - Confirmation Date

Child 2 - Church of Baptism

City

State

Additional Notes (If Applicable)

Child 3 - First Name

Middle Initial

Last Name

Child 3 - Gender

Child 3 - Date of Birth

Child 3 - Grade

Child 3 - Sacraments Completed

Baptism

1st Communion

Confirmation

Child 3 - Baptism Date

Child 3 - First Communion Date

Child 3 - Confirmation Date

Child 3 - Church of Baptism

City

State

Additional Notes (If Applicable)

I would like to learn more about:

Family Faith Formation

Sacraments

Music Ministry

Men's Ministry

Women's Ministry

Youth Ministry

Extraordinary Ministers

Prayer Chain

OCIA

Hispanic Ministries

College Ministry

Young Adult Ministry

Other

If Other, please specify

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St. Mary's School

Contact Us

(706) 290-9000

911 N broad st

rome, georgia 30161

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