Register Family Name (Last Name only) Marital Status Single Married Divorced Widowed Separated First Name Date of Birth Occupation Spouse Name Spouse Date of Birth Spouse Occupation Address City, State, Zip Phone Email Children Under 18 / Birthdates Would you like to be sent parish envelopes? Yes No Which weekend Mass do you typically attend? 4 PM Saturday 7 AM Sunday 9 AM Sunday 10:30 AM Sunday 5 PM Sunday Ministries I am interested in: Service Ministries/Social Mission Reader Usher Choir Eucharistic Minister Care for Plants Office Help Server Sacristan Send
