Registration at Old St. Mary's Church

* Denotes Required Field

When did you start attending Old St. Mary's?

New Member
Current Member / Update Info

Section A: Yourself

Title

*First Name

M.I.

*Last Name

Date of Birth

Occupation

*Street Address

*City

*State

*Zip

*Home Phone

Work Phone

Mobile Phone

*E-Mail

Marital Status

Religion

Section B: Your spouse (if applicable)

Title

First Name

M.I.

Last Name

Date of Birth

Occupation

Street Address

City

State

Zip

Work Phone

Mobile Phone

E-Mail

Religion

Section C: Children living at home (if any)

Name

Date of Birth

Baptized First Communion Confirmed

Name

Date of Birth

Baptized First Communion Confirmed

Name

Date of Birth

Baptized First Communion Confirmed

Section D: What Ministry would you like to join?

Unsure at this time
Minister of the Eucharist
Knights of Columbus
Evangelization Committee
School Volunteer
RCIA Team
Adult Choir
Children's Choir
Religious Formation for Children
Liturgy of the Word for Children
Hospitality
Usher
Social Events
Social Justice
TWL Those with Leisure
Young Adults
Lector
Legion of Mary
Asian Catholic Ministry

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