Sacred Heart of Mary Family Registration Form

Sacred Heart of Mary Parish Family Registration Form
6736 Youngstown Ave, Baltimore, MD 21222
(410) 633-2828

Family Name: 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.

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.

Household Information

Marital Status: Please Check REQUIRED Please fill out this field.

Priest/Deacon Name and Date - if applicable Please enter valid data.

Would you use envelopes for your Sunday donation?

Head of Household - Name, DOB and Phone REQUIRED Please fill out this field. Please enter valid data.

Head of Household Sacramental Information Baptized Catholic RCIA First Eucharist Confirmed

Please provide Dates and Locations of Sacramental Information Please enter valid data.

Spouse - Name, DOB and Phone Please enter valid data.

Spouse Sacramental Information Single Baptized Married Catholic Married by Priest/Deacon RCIA First Eucharist Confirmed

Please provide Dates and Locations of Sacramental Information Please enter valid data.

Children Information - Name, DOB, Marital Status and Sacramental Information Please enter valid data.

Would you like to donate time to church upkeep? Please check areas of expertise Air Conditioning/Heating/Plumbing Electrical Interior Painting Carpentry Handyman/Woman Tree/Bush Trimming Gardening

Pastorate of Sacred Heart of Mary & St. Rita

Dundalk, MD

Sacred Heart of Mary Family Registration Form