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  • 
    Joanne Brown
    Parish Administrative Assistant
    203-438-6538
    jbrownsmcr.org

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  • Extended Family Registered with St. Mary Parish Please enter valid data.
  • • Number of Adults Living in your Household REQUIRED
      25 +
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    • Adult 1
      • First, Middle, Last (if different) Please enter valid data.
      • Sex Male Female
      • Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.
      • Catholic Marriage? (if applicable) Yes No
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      • Cell Phone Number Maximum 20 characters Please enter a phone number.
      • Occupation/Employer/Business Phone
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      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
      • Ministries that interest you (check all that apply). Adoration Chapel Prayer Ministry Eucharistic Ministry at Mass/Homebound Lector Ministry Altar Serving Altar Guild Usher/Greeter Ministry Music Ministry Catechist or RE Office Volunteer RCIA Respect Life Ministry Stephen Ministry Catholic Action Ministry Scripture Study Men's Ministry Catholic Women in Community Mother's Club Youth Ministry Knights of Columbus-Marquette Council #245
    • Adult 2
      • First, Middle, Last (if different) Please enter valid data.
      • Sex Male Female
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      • Catholic Marriage? (if applicable) Yes No
      • Maiden Name (if Married Female) REQUIRED Please fill out this field. Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
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      • Cell Phone Number Maximum 20 characters Please enter a phone number.
      • Occupation/Employer/Business Phone
      • Religion (please specify) REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
      • Ministries that interest you (check all that apply). Adoration Chapel Prayer Ministry Eucharistic Ministry at Mass/Homebound Lector Ministry Altar Serving Altar Guild Usher/Greeter Ministry Music Ministry Catechist or RE Office Volunteer RCIA Respect Life Ministry Stephen Ministry Catholic Action Ministry Scripture Study Men's Ministry Catholic Women in Community Mother's Club Youth Ministry Knights of Columbus-Marquette Council #245
    • Adult 3
      • First, Middle, Last (if different) Please enter valid data.
      • Sex Male Female
      • Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.
      • Catholic Marriage? (if applicable) Yes No
      • Maiden Name (if Married Female) REQUIRED Please fill out this field. Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Cell Phone Number Maximum 20 characters Please enter a phone number.
      • Occupation/Employer/Business Phone
      • Religion (please specify) REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
      • Ministries that interest you (check all that apply). Adoration Chapel Prayer Ministry Eucharistic Ministry at Mass/Homebound Lector Ministry Altar Serving Altar Guild Usher/Greeter Ministry Music Ministry Catechist or RE Office Volunteer RCIA Respect Life Ministry Stephen Ministry Catholic Action Ministry Scripture Study Men's Ministry Catholic Women in Community Mother's Club Youth Ministry Knights of Columbus-Marquette Council #245
    • Adult 4
      • First, Middle, Last (if different) Please enter valid data.
      • Sex Male Female
      • Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.
      • Catholic Marriage? (if applicable) Yes No
      • Maiden Name (if Married Female) REQUIRED Please fill out this field. Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Cell Phone Number Maximum 20 characters Please enter a phone number.
      • Occupation/Employer/Business Phone
      • Religion (please specify) REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
      • Ministries that interest you (check all that apply). Adoration Chapel Prayer Ministry Eucharistic Ministry at Mass/Homebound Lector Ministry Altar Serving Altar Guild Usher/Greeter Ministry Music Ministry Catechist or RE Office Volunteer RCIA Respect Life Ministry Stephen Ministry Catholic Action Ministry Scripture Study Men's Ministry Catholic Women in Community Mother's Club Youth Ministry Knights of Columbus-Marquette Council #245
  • • Number of Children living in your household REQUIRED Please fill out this field.
    • Child 1
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 2
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 3
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 4
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 5
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 6
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 7
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.
    • Child 8
      • Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
      • Sex Male Female
      • Relationship to head(s) of household Please enter valid data.
      • Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
      • Email (if different) Please enter an email address.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacraments Received (check all that apply) REQUIRED Baptism First Penance First Communion Confirmation None Please fill out this field.
      • Please specify any special needs. Please enter valid data.

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