Become a Parishioner

Today's Date REQUIRED Please fill out this field. Please enter valid data.

Primary Contact

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

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

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Title (Mr, Ms, Mrs, Dr, etc) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

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.

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

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Were you Baptized? REQUIRED Yes No Please fill out this field.

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Were you Confirmed? REQUIRED Yes No Please fill out this field.

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Have you received your First Communion? REQUIRED Yes No Please fill out this field.

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Are you married? REQUIRED Yes No Please fill out this field.

If you answered Yes to the above question, please provide the date. REQUIRED Please fill out this field. Please enter valid data.

Were you married by a Catholic Priest or Deacon? REQUIRED Yes No Please fill out this field.

If you were not married in the Catholic Church, please explain when, where, and how you were married. REQUIRED Please fill out this field.

Are you a Nativity of Mary Alumni? REQUIRED Yes No Please fill out this field.

If you answered Yes to the above question, please provide the approximate date of graduation. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Would you like to receive Church Envelopes? REQUIRED Yes No Please fill out this field.

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Spouse Information

Last Name Please enter valid data.

First Name Please enter valid data.

Middle Name Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Title (Mr, Ms, Mrs, Dr, etc) Please enter valid data.

Date of Birth Please enter valid data.

Religion Please enter valid data.

Email Please enter valid data.

Phone Number Please enter valid data.

Were you Baptized? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Were you Confirmed? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Have you received your First Communion? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Are you a Nativity of Mary Alumni? Yes No

If you answered Yes to the above question, please provide the approximate date of graduation. Please enter valid data.

Gender Male Female

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Children

Please include only those children who are under the age of 18 and currently live with you.

Child One

Last Name Please enter valid data.

First Name Please enter valid data.

Middle Name Please enter valid data.

Date of Birth Please enter valid data.

Religion Please enter valid data.

Current School Please enter valid data.

Has this child been Baptized? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child been Confirmed? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child received their First Eucharist? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Gender Male Female

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Child Two

Last Name Please enter valid data.

First Name Please enter valid data.

Middle Name Please enter valid data.

Date of Birth Please enter valid data.

Religion Please enter valid data.

Current School Please enter valid data.

Has this child been Baptized? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child been Confirmed? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child received their First Eucharist? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Gender Male Female

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Child Three

Last Name Please enter valid data.

First Name Please enter valid data.

Middle Name Please enter valid data.

Date of Birth Please enter valid data.

Religion Please enter valid data.

Current School Please enter valid data.

Has this child been Baptized? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child been Confirmed? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Has this child received their First Eucharist? Yes No

If you answered Yes to the above question, please provide the approximate date. Please enter valid data.

Gender Male Female

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For additional children, please get in touch with the parish office.

Please let us know if you would like more information about parish events, the parish school, or anything else we can help you with!