Registration Form - Old St. Mary's Church | Chicago

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Registration Form

Parishioner Registration Form

Welcome to our parish!
The information you provide is used to let us know who is a part of our community and help us decide how we may best serve you. This information will not be shared.
Section A: Head of Household Information
Title*
Mr., Mrs., Ms. Miss, Dr, Rev., etc.
First Name*
Middle Initial
Last Name*
Suffix
Sr. Jr. II, III, etc.
Date of Birth
Marital Status
Address*
Street Address Unit/Apt. Number City State ZIP Code
Telephone Number*
Type of Phone Number*
Religion*
Occupation
Your E-mail Address*
Do we have your permission to send news/reminders from Old St. Mary's to your email address?*
- Yes
- No
Do You Have a Spouse/Significant Other Living at the Same Address?*
Section B: Spouse/Significant Other Information.
Name*
Prefix First MI. Last Suffix
Date of Birth
Religion*
Telephone Number
Type of Phone Number
Occupation
E-mail
Do we have your permission to send newsletters from Old St. Mary's to your email address?
- Yes
- No
Do You have Children Living at Home with You?*
Section C: Children living at home
Name
Date of Birth*
- Male
- Female
- Baptized in the Catholic Church
- First Communion
- Confirmed
Name
Date of Birth
- Male
- Female
- Baptized in the Catholic Church
- First Communion
- Confirmed
Name
Date of Birth
- Male
- Female
- Baptized in the Catholic Church
- First Communion
- Confirmed
Section D: Offertory Commitment
Parishioner offertory commitments
We ask each parishioner to share their treasure and make an offertory pledge payable each week, month or year to maintain our Church building, pay staff salaries and help spread the Word of God. At Old St. Mary's. we partnered with Give Central*, a Chicago Archdiocese resource to provide an e-offertory option. Please let us know how you prefer to share your treasure.
I will share my treasure by*
- using Give Central - www.GiveCentral.org
- receiving offertory envelopes via mail
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Join us for Mass

Sunday 8 a.m., 11 a.m., 6 p.m. | Saturday 5 p.m. | Monday to Friday 8:30 a.m. | Saturday Noon

Sunday 8 a.m., 11 a.m., 6 p.m.
Saturday 5 p.m.
Monday to Friday 8:30 a.m.
Saturday Noon

1500 S. Michigan Ave., Chicago, IL 60605 | (312) 922-3444

©2017 Old St. Mary's Church, Chicago | Site development by Symmetrical Design

1500 S. Michigan Ave., Chicago, IL 60605
(312) 922-3444

©2017 Old St. Mary's Church, Chicago
Site development by Symmetrical Design