New Parishioner Registration

- Greetings & Welcome!
  
  During the years I have served at St. Mary Magdalen, I have found it to be an incredible community of faith. I greatly enjoy working here, and would like to invite you to become a part of this vibrant and welcoming parish.
  
  Led by the Holy Spirit, we are doing everything we can to provide a spiritual home for all our parishioners. We want and need you to join us so that you are encouraged to take your faith seriously, live your faith daily, and share that faith with others. We certainly have room to grow in this overall process, and we welcome you to help us to become the best parish we can be. I invite you to share your gifts of time, talent, and treasure with us so that we can all truly live God’s desire for Christian charity and community at St. Mary Magdalen Catholic Church.
  
  Please complete the new parishioner registration form so that we can welcome you to our parish.
  
  I would love to get to know you better; please contact me at the rectory office to set up an appointment. May God bless you and yours!
  
  Your friend in Christ Jesus Our Lord,
  Fr. Chris DeLerno, Pastor
- Ministries
- Stewardship
Registration Form
- This information will be held in the strictest confidence. For Pastoral use only.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  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.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Enter number of Children/Adult Dependents REQUIRED
  Please list additional household members
  Please fill out this field.
  
  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
  
  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 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
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.