Saint Mary Parish Registration

Please email copies of Baptism, Confirmation, and Marriage certificates for all registrants to stmarygrn@gmail.com. Fill out the form as completely as possible and then click submit.
If you are currently registered at another parish, please contact that parish to un-register.
Thank you.

For Office Use Only

Date Joined & Envelope #

Head of Household

First Name*

Last Name*

Birthdate

Religion

Place

Church Name, City, State

Place

Church Name, City, State

Place

Church Name, City, State

Marital Status

Marriage Date

Place

Church Name, City, State

Spouse

Name of Spouse

First Name

Last Name

Birthdate

Religion

Place

Church Name, City, State

Place

Church Name, City, State

Place

Church, City, State

First / Last Name of Other Adult(s) in Household

Contact Information

Mailing Address

Street 1*

Street 2

City*

State*

Zip*

Primary Phone

Required* --

Email Address

Required

Alternative Email Address

Child 1

Name of Child (1)

First Name

Last Name

Birthdate

School

Grade

Place

Church, City, State

Place

Church, City, State

Place

Church, City, State

Child 2

Name of Child (2)

First Name

Last Name

Birthdate

School

Grade

Place

Church, City, State

Place

Church, City, State

Place

Church, City, State

Child 3

Name of Child (3)

First Name

Last Name

Birhdate

School

Grade

Place

Church, City, State

Place

Church, City, State

Place

Church, City, State

Child 4

Name of Child (4)

First Name

Last Name

Birthdate

School

Grade

Place

Church, City, State

Place

Church, City, State

Place

Church, City, State

Saint Mary Parish Registration

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