St. Mary's Online New Member Registration Form

Please fill out the required information and then call
the pastoral office for an appointment.
(508)-839-3993

Household Information
Date Joined    
Family Name Number of Family Members
Home Address Town/City
State Zip
Phone Number Phone Listed
Marital Status By a Priest
When Married Married Where
Member Information (Male)
First Name Middle Name
Birthdate Languages you know other than English
Occupation Location
Business Phone School & Grade
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Informal Salutation
Member Information (Female)
First Name Middle Name
Maiden Name    
Birthdate Languages you know
Occupation Location
Business Phone School & Grade
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation
Date Date Date Date
Informal Salutation
Member Information (Child 1)
First Name Middle Name
Birthdate Last Name
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Member Information (Child 2)
First Name Middle Name
Birthdate Last Name
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Member Information (Child 3)
First Name Middle Name
Birthdate Last Name
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Member Information (Child 4)
First Name Middle Name
Birthdate Last Name
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Member Information (Child 5)
First Name Middle Name
Birthdate Last Name
Catholic If not Catholic, what Religion
Baptized 1st Communion First Penance Confirmation

Date

Date Date Date
Talents and Parish Ministries (Please select current parish ministries for yourself and/or family)

Religious Ed Eucharistic Minister Lector Choir RCIA Altar Server Bereavement Parish Board/Committee

Interested in following ministries
 
Please enter any comments or questions you would like to ask.

If you wish to receive an acknowledgment that your request has been received, provide a current e-mail address below.

 

If you do not want to register online, please print this page and send to the following address.

St. Mary's Church
17 Waterville Street
North Grafton, MA
01536

As a reminder, please call the pastoral office for an appointment.

(508)-839-3993