Registration at Old St. Mary's
*
denotes Required field
How Long have you been
attending Old St. Mary's?
New Member
Current member, update info.
SECTION A: YOUR SELF
__________________________________________________________________________________________
Title
Mr.
Mrs.
Ms.
Dr.
Rev.
Sr.
Br.
*First Name
*Last Name
*M.I.
____________________________________________________________________________________________
*STREET ADDRESS
Line1
*STREET ADDRESS
Line 2
*City
*State
*Zip
*Home Phone (with area code)
Work (with area code)
Cell Phone (with area code)
E-MAIL
Martial Status
Single
Divorced
Married
Widowed
*Date of Birth
*Occupation
Religion
_____________________________________________________________________________________________
SECTION B: YOUR SPOUSE (If applicable)
Title
Mr.
Mrs.
Ms.
Dr.
Rev.
Sr.
Br.
Work (with area code)
Cell Phone (with area code)
E-MAIL
*Date of Birth
*Occupation
Religion
_____________________________________________________________________________________________
SECTION C: CHILDREN LIVING AT HOME
(if any)
NAME DATE OF BIRTH BAPTIZED 1ST COMMUNION CONFIRMED
_____________________________________________________________________________________________
SECTION D: What Ministry would you like to join?
Minister of the Eucharist
Knights of Columbus
Evangelization Committee
Liturgy and Worship 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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