Family Registration Form

Welcome to our Church. Visit our web site at www.StMarysByTheSea.net for more
information.

Click Submit Form to send this information to St. Mary's by the Sea.

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*Required fields

*Registration Option		Register a New Family		Update an Existing Family		*ID/Env:
				Note: Just enter the field(s) that need to be updated.

Head of Household
Title		*First Name		*Last Name		Suffix
		Middle Name		Nickname
		Birth Date		*Gender	Female Male
				Marital Status
		Phone 1	( ) - Unlisted
		Phone 2	( ) - Unlisted
	Sacraments	Name		Received	Date	Place
		Baptism
		1st Comm
		Confirm
		Marriage

	Spouse
Title		First Name		Last Name		Suffix
		Middle Name		Nickname
		Birth Date		Gender	Female Male
				Marital Status
		Phone 1	( ) - Unlisted
		Phone 2	( ) - Unlisted
	Sacraments	Name		Received	Date	Place
		Baptism
		1st Comm
		Confirm
		Marriage

			Family Street Address
		*Line 1
		Line 2
		*City
		*State
		*ZIP

			Family Phone Numbers
		*Primary	( ) - Unlisted
		Other	( ) - Unlisted
			Family Email Address
		*Email	Unlisted
			Send Email Instead of Mail When Possible
			Family Remarks
		Remarks

	Member 1	Type
Title		First Name		Last Name		Suffix
Relationship		Middle Name
		Birth Date		Gender	Female Male

	Sacraments	Name		Received	Date	Place
		Baptism
		1st Comm
		Confirm

Click Submit Form to send this information to St. Mary's by the Sea.