St. Mary Catholic Church - Dayton, OH  45410
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New Parishioner Registration Form

* Fields marked with Required Field are required.
   
   
   
       
           
Check all the Sacraments you have received:
  Baptism Confirmation Eucharist Reconciliation Marriage   Anointing of the Sick
           
   
 
 
       
           
Marital Status:
  Single  Married  Divorced  Separated   
           
Other Family Member or Spouse
   
   
   
   
           
Check all the Sacraments that the other family member or your spouse have received:
  Baptism Confirmation Eucharist Reconciliation Marriage   Anointing of the Sick
           
    Number of children living in your household?   
   
I am interested in one or more of the following: 
  Baptism 1st Communion Confirmation RCIA** Marriage   
           
    Captcha: 


 
   
    Required Field       
           
    Home Button   ** Rite of Christian Initiation of Adults   
           
 
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