Parishioner Registration

Head of Household

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

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

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

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

Do you want to receive emails from the SMG? REQUIRED Yes No Please fill out this field.

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.

Gender REQUIRED Please fill out this field.

Marital Status REQUIRED Please fill out this field.

Occupation Please enter valid data.

Education Completed Please enter valid data.

Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received REQUIRED

Check all that apply

Baptism First Communion First Reconciliation Confirmation Holy Matrimony Holy Orders Please fill out this field.

Church Support REQUIRED Sign me up for contribution envelopes. Send information about Online Giving I have questions about where the contributions are going before I sign up for either. I am not ready to contribute at this time. Please fill out this field.

Additional Household Members

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

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

Birth Date Please enter valid data.

Gender

Email Please enter an email address.

Phone Number Please enter a phone number.

Marital Status

Occupation Please enter valid data.

Religious Affiliation Please enter valid data.

Sacraments Received

Check all that apply

Baptism First Communion First Reconciliation Confirmation Holy Matrimony Holy Orders

First Name Please enter valid data.

Last Name Please enter valid data.

Birth Date Please enter valid data.

Gender

Phone Number Please enter a phone number.

Email Please enter an email address.

Marital Status

Occupation Please enter valid data.

Religious Affiliation Please enter valid data.

Sacraments Received

Check all that apply

Baptism First Communion First Reconciliation Confirmation Holy Matrimony Holy Orders

Would you like to receive information about getting involved? REQUIRED Yes, please call me. Yes, please email me. Not at this time. Please fill out this field.

St. Maria Goretti

New Orleans, LA

Parishioner Registration