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Saint Mary Catholic Church – Family Information Sheet
8343 Woolmarket Road, Biloxi, MS 39532
228-392-1999 (Office) 228-392-4552 (Fax)

Thank you for taking the time to register your family at St Mary Catholic Church! Please know that the information we collect is only used for church business, and is NEVER sold, distributed, or given to any other person, company, or third party. We take the protection of personal information very seriously.

If you want to print this form and submit it to the parish office yourself, we have made it available as a pdf. Just click here to open the form for printing. For on-line form submittal, continue below.
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- Date REQUIRED Please fill out this field. Please enter a date.
- This Registration is: New Updating my family information
- Do you want Contribution Envelopes? Yes No
- Head of Household
- First Name Please enter valid data.
- Middle Initial Maximum 4 characters Please enter valid data.
- Last Name Please enter valid data.
- Maiden Name Please enter valid data.
- Date of Birth Maximum 20 characters
  If you don't want to provide your full date of birth, could you give your day and month so we can wish you happy birthday?
  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.
- Home Phone Maximum 20 characters Please enter valid data.
- Cell Phone Maximum 20 characters Please enter valid data.
- Email Maximum 75 characters Please enter an email address.
- Marital Status
- If Married, Married by Priest or Deacon? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Other Family Members
- First Family Member:
  
  First Name Please enter valid data.
  
  Middle Initial Maximum 4 characters Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Date of Birth Maximum 20 characters Please enter valid data.
  
  Relationship Please enter valid data.
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
- Second Family Member:
  
  First Name Please enter valid data.
  
  Middle Initial Maximum 4 characters Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Date of Birth Maximum 20 characters Please enter valid data.
  
  Relationship Please enter valid data.
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
- Third Family Member:
  
  First Name Please enter valid data.
  
  Middle Initial Maximum 4 characters Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Date of Birth Maximum 20 characters Please enter valid data.
  
  Relationship Please enter valid data.
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
- Fourth Family Member:
  
  First Name Please enter valid data.
  
  Middle Initial Maximum 4 characters Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Date of Birth Maximum 20 characters Please enter valid data.
  
  Relationship Please enter valid data.
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
- I am interested in (and would appreciate a call about):
- My Interests: Altar Server Altar Society Bible Study Collection Counter Eucharistic Minister of Holy Communion Gift Shop Knights of Columbus Lector Grounds Maintenance Music Ministry Religious Education RCIA St. Mary-St. Vincent Helper Usher/Greeter Volunteer Opportunities Other(please specify below)
- If other: Please enter valid data.
- Any Additional Comments or Questions
Submit

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