• SMM Ministries

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  For listing of SMM Ministries
  
  For listing of SMM Organizations

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  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Date of Birth Please enter valid data.
  • Current Religion Please enter valid data.
  • Baptized? Yes No
  • Married? No Sacramentally Civil Ceremony
  • Spouse Name Maximum 15 characters Please enter valid data.
  • Spouse's Date of Birth Please enter valid data.
  • Spouse's Current Religion Please enter valid data.
  • Spouse Baptized? Yes No
  • Wife's Maiden Name Please enter valid data.
  • Street Address Please enter valid data.
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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  • • Enter number of Children/Adult Dependents REQUIRED
      Please list additional household members
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    • Child/Adult 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
    • Child/Adult 2
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        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
    • Child/Adult 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
    • Child/Adult 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
    • Child/Adult 5
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
    • Child/Adult 6
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Gender Female Male
      • Email Please enter an email address.
      • Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
      • Date of Birth Please enter valid data.
      • Baptized? Yes No
  • Do you wish to receive contribution envelopes? Yes No
  • Ministry/Organization Interests

    Select all that apply to you or your family.

    Altar Server Altar Society Baptism Seminar Staff CYO Extraordinary Minister of Holy Communion Fair Committee Homebound/Nursing Home Ministry KayCee Ladies Auxiliary Knights of Columbus Men's Club Minister of the Word (Reader at Mass) RCIA Teacher St. Jude Society School of Religion Teacher Social Apostolate Usher Society Witness to Love

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