New Member Registration

Head of Household:

Last Name REQUIRED Please fill out this field. Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Title

Marital Status REQUIRED Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Email Address Please enter valid data.

Are you Catholic? REQUIRED Please fill out this field.

Sacraments Received REQUIRED Baptism First Communion Confirmation Marriage Holy Orders Please fill out this field.

Spouse's Name, if applicable Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Spouse's Phone Please enter a phone number.

Spouse's Email Please enter an email address.

Is Spouse Catholic?

Sacraments Spouse has Received Baptism First Communion Confirmation Marriage

Please list any children living with you - their names, dates of birth, sacraments received, and grade level below:

Do we have your permission to use photos of you or others in your household in our bulletin or social media?

Is anyone in your household an alumnus of our Catholic School? If yes, please provide details, including name and last year attended (e.g. John Doe 5th grade class of 1995).

How long have you been at Saints Mary and Mathias? Please enter valid data.

Former Parish? Please enter valid data.

Preferred Language

Giving Preferance REQUIRED Envelope Offertory ACH Auto Debit Vanco Online Giving Please fill out this field.

Please indicate any and all ministries your family wishes to be involved in. Use the Parish Ministry Brochure link at the bottom of the page for reference.

Is there anything you would like us to know about you or any member in your household (disabilities, homebound, nursing home, etc)?

New Member Registration

Interested in joining Ss. Mary & Mathias Catholic Church?

Please fill out the form below. Someone from our Welcome Committee will be in touch!

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