Click here for PDF version of our registration form - St Mary's Church

St. Mary Our Lady of the Seven Sorrows
Roman Catholic Church
Parishioner Registration Form
All information provided is for the sole use of St. Mary's Parish to assist in providing
pastoral care and will not be shared with any other individual or organization.
Please √ one:
Date:
New Registration Registration Update Attend St. Mary's but Never Registered
PLEASE PRINT CLEARLY and COMPLETE BOTH SIDES
HOUSEHOLD INFORMATION
Street Address:
Apt./Unit #:
City:
Languages(s) Spoken
at Home:
Postal Code:
Please circle one: Mr. Mrs. Miss Dr.
Last Name:
First Name:
Date of Birth: (mm/dd/yy)
PRIMARY CONTACT
Home Phone:
SPOUSE
Please circle one: Mr. Mrs. Miss Dr.
Last Name:
First Name:
Date of Birth: (mm/dd/yy)
Religion:
Please √ if
received:
Occupation:
Work
Phone:
E-mail Address:
Baptism 1st Communion Please √ if Baptism 1st Communion
Confirmation received:
Confirmation
Cell
Phone:
Marital Please circle one: Single Engaged
Status: Married Separated Divorced Widowed
Marriage Date:
(mm/dd/yy)
1.
2.
3.
4.
5.
Full Name(s)
Religion:
Occupation:
Work
Phone:
E-mail Address:
Denomination/Civil:
Church and/or Place of
Marriage:
CHILD(REN)'S INFORMATION
Gender
Cell
Phone:
Children living at home over 18 years of age are encouraged to fill out a separate Registration Form
Date of Birth
(mm/dd/yy)
Religion
Please √ if Received:
First
Baptism
Confirmation
Comm.
1/14 Please complete other side

ADDITIONAL INFORMATION
Would you like Offertory Envelopes? Do you require a Parking Permit? Yes No
Yes No (Required for annual tax receipt)
Is any family member confined to the home who would
like to receive the sacraments? Yes No
If yes, please contact the parish office.
Name of family member confined to the home:
Would you like your home blessed?
Yes No
PARISH VOLUNTEER COMMITTEES AND ORGANIZATIONS
Adoration of the Blessed Sacrament (First Saturday - 9:30 am - 12 noon)
Adult Altar Server (Weekday Mass of your choice and Funerals Only)
Altar Server (Sunday Mass of your choice - Children/Youth Only)
Catholic Women's League
Children's Liturgy Catechist (Sunday 11:00 am Mass)
Choir (Sunday 11:00 am Mass)
Church Dusting/Cleaning (Weekday Mornings)
Collection Counting (Monday Mornings)
Extraordinary Minister of Communion to the Sick
Greeter (Sunday Mass of your choice)
Prayer Network
Reader/Commentator (Sunday Mass of your choice)
Screening Committee
St. Vincent de Paul Society
Social Sunday Committee
Usher (Sunday Mass of your choice)
If any family member wishes to volunteer for any of the above groups, please indicate below.
The particular group co-ordinator will contact you in the near future.
Name of Volunteer:
Group:
Name of Volunteer:
Name of Volunteer:
Name of Volunteer:
Group:
Group:
Group:
Please return this completed form to the parish office or deposit it in the collection basket.
If you would like further information or have any questions please contact:
St. Mary Our Lady of the Seven Sorrows Parish Office
56 Duke Street West, Kitchener ON N2H 3W7
Phone: 519-576-3860 Fax: 519-576-9338
email: stmarysc@golden.net website: stmarysrcchurch.ca
Facebook: http://www.facebook.com/StMarysKitchener Twitter: St. Marys KW
THANK YOU FOR YOUR TIME AND HELP TO KEEP OUR PARISH RECORDS UP TO DATE.
For office use only:
Date Rec'd: _______________________
Env. #: _____________________