New Parishioner Form

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

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

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

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

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

Gender Female Male

Marital Status REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received (check all that apply) Baptism Reconciliation First Eucharist Confirmation

Spouse Name (if applicable) Please enter valid data.

Spouse/Secondary Phone Number Please enter a phone number.

Spouse/Secondary Email Please enter an email address.

Sacraments Received (check all that apply) Baptism Reconciliation First Eucharist Confirmation

Spouse Date of Birth Please enter valid data.

Spouse Gender Female Male

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.

Do you have children or other family members living with you? (If not, please skip to the ministry question.) REQUIRED

If not, please skip the additional family member sections.

Yes No Please fill out this field.

Children/Other Family Member Living with You (#1)

Family Member 1 Name Please enter valid data.
Family Member 1 Relationship Please enter valid data.
Family Member 1 Date of Birth Please enter valid data.
Family Member 1 Sacraments Received Baptism Reconciliation First Eucharist Confirmation

Children/Other Family Member Living with You (#2)

Family Member 2 Name Please enter valid data.
Family Member 2 Relationship Please enter valid data.
Family Member 2 Date of Birth Please enter valid data.
Family Member 2 Sacraments Received Baptism Reconciliation First Eucharist Confirmation

Children/Other Family Member Living with You (#3)

Family Member 3 Name Please enter valid data.
Family Member 3 Relationship Please enter valid data.
Family Member 3 Date of Birth Please enter valid data.
Family Member 3 Sacraments Received Baptism Reconciliation First Eucharist Confirmation

Children/Other Family Member Living with You (#4)

Family Member 4 Name Please enter valid data.
Family Member 4 Relationship Please enter valid data.
Family Member 4 Date of Birth Please enter valid data.
Family Member 4 Sacraments Received Baptism Reconciliation First Eucharist Confirmation

Children/Other Family Member Living with You (#5)

Family Member 5 Name Please enter valid data.
Family Member 5 Relationship Please enter valid data.
Family Member 5 Date of Birth Please enter valid data.
Family Member 5 Sacraments Received Baptism Reconciliation First Eucharist Confirmation

Please indicate any ministry or sacraments you may have an interest in:

What method would you be willing to use to support the parish financially? REQUIRED Envelopes Online Giving (register at stmarynh.org/giving) Please fill out this field.

Do you have any additional questions and/or anything you'd like to discuss with the Pastor?

Thank you for taking the time to fill out this form. Your answers will help us best serve you and your family. Please click Submit to begin the registration process.

St. MARY CHURCH

182 Main Street, Newmarket, NH 03857

New Parishioner Form

Welcome! We're happy to have you with us!