Parishioner Registration Form

Please fill out this form to become a parishioner at The Basilica of St Mary Star of the Sea.

 

Applicant Information

Name(Required)
Email(Required)
MM slash DD slash YYYY
Sex(Required)
Religion(Required)
Attend Church?(Required)
Marital Status(Required)
If married, date of Marriage
MM slash DD slash YYYY
Baptized(Required)
Communion(Required)
Confirmation(Required)
Address(Required)
Seasonal Address?(Required)

Spouse Information

Spouse's Name
Spouse's Email
MM slash DD slash YYYY
Spouse Sex
Spouse Religion
Spouse Attends Church?
Spouse Baptized
Spouse Communion
Spouse Confirmation

Children Information

Child 1 Name
Please type in Baptism, Communion, Confirmation, Marriage, etc.
Child 2 Name
Please type in Baptism, Communion, Confirmation, Marriage, etc.
Child 3 Name
Please type in Baptism, Communion, Confirmation, Marriage, etc.
Child 4 Name
Please type in Baptism, Communion, Confirmation, Marriage, etc.
Child 5 Name
Please type in Baptism, Communion, Confirmation, Marriage, etc.
This field is for validation purposes and should be left unchanged.