st. mark parish registration form

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Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. 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.
Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Cell Phone Number, if different than home phone Maximum 20 characters Please enter a phone number.
Email Please enter an email address.
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Identify the parish where you and/or your spouse are currently registered, include the city if outside the Archdiocese of Baltimore.
Currently registered with (parish name): Please enter valid data.
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Do you want to receive weekly offertory envelopes? These are required for St. Mark School families receiving the Catholic tuition rate.
Weekly envelopes? REQUIRED Yes No Please fill out this field.
If you would prefer to contribute to our weekly offertory via debit or credit card, please visit www.faithdirect.net and enter parish code MD532 or call 1-866-507-8757. You may call the St. Mark Parish Office for assistance.
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Do you want to receive the free monthly magazine, The Catholic Review, from the Archdiocese? Yes No
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HEAD OF HOUSEHOLD
First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
Marital Status REQUIRED Please fill out this field.
Wedding Anniversary (mm/dd/yyyy) Please enter a date.
Religion REQUIRED Please fill out this field.
Sacraments received in the Catholic Church REQUIRED
(Select all that apply)
Baptism Eucharist Confirmation Married by Catholic Priest None Please fill out this field.
Special Interests
These might include occupation, hobbies, talents, etc.
Please enter valid data.
Special needs or disabilities
I would like information about:
Check all that apply. Explore our website or call the Parish Office if you are looking to share your time and talents in other ministries.
Sacrament(s) Religious Education Catechist Children's Liturgy of the Word Catechist Extraordinary Minister of Holy Communion Lector Music Ministry Community Outreach Ministry Scouts
- Additional Family Member(s) REQUIRED
  Please complete for addional members residing at this address to be registered.
  Please fill out this field.
- Family Member 1
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 2
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 3
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 4
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 5
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 6
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 7
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 8
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.
- Family Member 9
  - First Name (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  - Phone Number Maximum 20 characters Please enter a phone number.
  - Email Please enter an email address.
  - Sex REQUIRED Please fill out this field.
  - Relationship to Head of Household REQUIRED Please fill out this field.
  - Date of Birth (mm/dd/yyyy) REQUIRED
    mm/dd/yyyy
    Please fill out this field. Please enter a date.
  - Marital Status REQUIRED Please fill out this field.
  - Religion REQUIRED Please fill out this field.
  - Sacraments received in Catholic Church REQUIRED Baptism First Eucharist Confirmation Married by Catholic priest None Please fill out this field.
  - Special Interests
    Such as occupation, hobbies, talents, etc.
    Please enter valid data.

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