St. Mary Catholic Church | Dayton, OH 45410
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 Eucharist Reconciliation Confirmation Marriage 
           
           
   
 
 
       
           
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 Eucharist Reconciliation Confirmation Marriage 
           
    Number of children living in your household under the age of 18?   
   
List the children in the household Sacraments Received
Childs Name
Age
Sex
Baptism,  Confirmation,  Eucharist,  Reconciliation
 
 
 
 
 
 
 
 
 

I am interested in one or more of the following: 
           
  Baptism 1st Communion Reconciliation Confirmation Marriage   
           
    Captcha: 


 
   
    Required Field        
           
           
           
 
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