Parish Registration

New Parish Registration or Registration update, Please state "New" or "Update". Thank you *

Family Last Name *

Secondary Last Name (if applicable)

Family Address *

Address Line 1

Address Line 2

City

State

Zip Code

Family Phone Number *

Do you want your phone number listed or unlisted in the directory? *

Yes, please list my number
No, do not list my number

Do you wish to receive or continue receive The East Tennessee Catholic Newspaper in the mail, ? Yes/No? *

Yes
No

Do you currently receive offertory envelopes? *

Yes
No

If yes, Envelope number

Do you wish to start or continue receiving envelopes? or use online offertory option? *

Yes, continue with envelopes.
No , use online offertory option

https://www.wesharegiving.org/app/giving/WeShare-2204?tab=home

Primary Contact (Family member to receive main communications from Parish) Member Information

Please fill in each box for every member of your family. Once completed, you may submit below

Name (Primary Contact) Title, First, Middle, Last *

Phone (Primary Contact) *

Email (Primary Contact) *

Email

Confirm Email

Birth Date (Primary Contact) *

Date

Birthplace (Primary Contact) *

Gender (Primary Contact) *

Male
Female

Primary Language (Primary Contact) *

English
Spanish
Other

Secondary Language or Languages (Primary Contact)

Religion (Primary Contact) *

Baptism year/place, if known

Occupation (Primary Contact) *

Are you married? *

Yes
No

If sacramentally married, please provide Date and Church Name *

Spouse's Information

Spouse Name *

Spouse Phone *

Spouse Email *

Email

Confirm Email

Birth Date (Spouse) *

Birthplace (Spouse) *

Gender (Spouse) *

Male
Female

Religion (Spouse) *

Baptism year/place, if known.

Occupation of Spouse?

Primary Language (Spouse) *

English
Spanish
Other

Secondary Language or Languages (Spouse)

Additional information

Do you have children living in your household? *

Yes
No

How many children living in your household? *

Child 1 Information

Child 1 - Name *

Child 1 - Religion *

Child 1 - If baptized, year/place *

Child 1 - Primary Language *

English
Spanish
Other

What is Child 1's primary language? *

Child 1 - Grade *

Child 1 - Gender *

Child 1 - Birth Date *

Child 1 - Birthplace *

Child 2 Information

Child 2 - Name *

Child 2 - Religion *

Child 2 - If baptized, year/place *

Child 2 - Primary Language *

English
Spanish
Other

What is Child 2's primary language? *

Child 2 - Grade *

Child 2 - Gender *

Child 2 - Birth Date *

Child 2 - Birthplace *

Child 3 Information

Child 3 - Name *

Child 3 - Religion *

Child 3 - If baptized, year/place *

Child 3 - Primary Language *

English
Spanish
Other

What is Child 3's primary language? *

Child 3 - Grade *

Child 3 - Gender *

Child 3 - Birth Date *

Child 3 - Birthplace *

Child 4 Information

Child 4 - Name *

Child 4 - Religion *

Child 4 - If baptized, year/place *

Child 4 - Primary Language *

English
Spanish
Other

What is Child 4's primary language? *

Child 4 - Grade *

Child 4 - Gender *

Child 4 - Birth Date *

Child 4 - Birthplace *

Child 5 Information

Child 5 - Name *

Child 5 - Religion *

Child 5 - If baptized, year/place *

Child 5 - Primary Language *

English
Spanish
Other

What is Child 5's primary language? *

Child 5 - Grade *

Child 5 - Gender *

Child 5 - Birth Date *

Child 5 - Birthplace *

Child 6 Information

Child 6 - Name *

Child 6 - Religion *

Child 6 - If baptized, year/place *

Child 6 - Primary Language *

English
Spanish
Other

What is Child 6's primary language? *

Child 6 - Grade *

Child 6 - Gender *

Child 6 - Birth Date *

Child 6 - Birthplace *

Child 7 Information

Child 7 - Name *

Child 7 - Religion *

Child 7 - If baptized, year/place *

Child 7 - Primary Language *

English
Spanish
Other

What is Child 7's primary language? *

Child 7 - Grade *

Child 7 - Gender *

Child 7 - Birth Date *

Child 7 - Birthplace *

Child 8 Information

Child 8 - Name *

Child 8 - Religion *

Child 8 - If baptized, year/place *

Child 8 - Primary Language *

English
Spanish
Other

What is Child 8's primary language? *

Child 8 - Grade *

Child 8 - Gender *

Child 8 - Birth Date *

Child 8 - Birthplace *

Child 9 Information

Child 9 - Name *

Child 9 - Religion *

Child 9 - If baptized, year/place *

Child 9 - Primary Language *

English
Spanish
Other

What is Child 9's primary language? *

Child 9 - Grade *

Child 9 - Gender *

Child 9 - Birth Date *

Child 9 - Birthplace *

Child 10 Information

Child 10 - Name *

Child 10 - Religion *

Child 10 - If baptized, year/place *

Child 10 - Primary Language *

English
Spanish
Other

What is Child 10's primary language? *

Child 10 - Grade *

Child 10 - Gender *

Child 10 - Birth Date *

Child 10 - Birthplace *

Is there any thing else you want the Parish to know about you or your family?

Do you or family members have a special skill/talent or interests you would like to share with the Parish? If so , please describe.

Please list all that apply

Do you or family currently participate or are INTERESTED in participating in any of these Ministries or Apostolates in the Parish?

Please select all options of interest.

Do you have any other interests?

Welcome to Saint Mary Parish!