Parishioner Registration

Please fill out the information in this form for each of your family members who wishes to be registered as a parishioner here.

Your Information

Last Name REQUIRED Please fill out this field. Please enter valid data.
First Name REQUIRED Please fill out this field. Please enter valid data.
Title

If Married:

Spouse's First Name Please enter valid data.
Spouse's Last Name (If Different) Please enter valid data.
Title

Basic Information

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.
Main Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Marital Status REQUIRED Please fill out this field.
Church Attendance REQUIRED Please fill out this field.
Giving Options (select all that apply)
Check each box that applies to your interests for financial stewardship.
I would like to use envelopes I am interested in Faith Direct, our online giving program

Family Member Information

Please select the number of family members including yourself who wish to be registered as parishioners from the drop-down menu below, and fill out the corresponding information for each member.

Additional Notes (e.g., Eucharist for the sick, request for a house blessing)

Submission Confirmation Email REQUIRED

To receive confirmation that you submitted this form, please enter an email address here.

Please fill out this field. Please enter an email address.

I agree that providing my contact information to the Church of Santa Maria signifies my consent to be contacted by the parish using the means listed. Please select this field.

Before clicking "Submit," please review the above information to ensure its accuracy. You cannot return to this screen once you have submitted your form.