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St. Mary's Cathedral

Parishioner Registration Form

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Click Submit Form to send this information to St. Mary's Cathedral.
*Required fields
*Family Option  New Family Information  Update Existing Family Information   ID/Env:  
  Call St. Mary's Cathedral at (316) 263-6574, if you do not know your ID Number or Envelope Number.

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
Sacraments
  Baptism Date
  First Comm Date
  Confirm Date
Remarks

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
Gender Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
Sacraments
  Baptism Date
  First Comm Date
  Confirm Date
Remarks

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
  Email Unlisted
Send Email Instead of Mail When Possible

Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
Gender Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
Sacraments
  Baptism Date
  First Comm Date
  Confirm Date
Remarks


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St. Mary's Cathedral