St. Mark Parish Registration Form

• Family Name: *
• Street Address:
• City: *
• State:
  —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Zip:
• Home Phone Number: *
• Cell Phone Number, if different than home phone: *
• Email: *
• Identify the parish where you and/or your spouse are currently registered, include the city if outside the Archdiocese of Baltimore.
• Currently registered with (parish name):
• Do you want to receive weekly offertory envelopes? These are required for St. Mark School families receiving the Catholic tuition rate.
• Weekly envelopes? * YesNo
• If you would prefer to contribute to our weekly offertory via debit or credit card, please register with Pushpay or call 1-844-PUSHPAY. (See How to Create a Pushpay Account). You may call the St. Mark Parish Office for assistance.
• Do you want to receive the free monthly magazine, The Catholic Review, from the Archdiocese? YesNo

• Head of Household

• First Name (include maiden name): *
• Sex: * —Please choose an option—MaleFemaleOther
• Date of Birth: *
• Martial Status: * —Please choose an option—MarriedSingleWidowedPartneredSeparatedDivorced
• Wedding Anniversary:
• Religion: * —Please choose an option—CatholicBuddistHinduJewishMuslimProtestantNoneOther
• Sacraments Received in the Catholic Church: * (Check all that apply) BaptismEucharistConfirmationMarried by Catholic PriestNone
• Special Interests: (This might include occupation, hobbies, talents, etc.)
• Special Needs or Disabilities:
• I would like information about: (Check all that apply. Explore our website or call the Parish Office if you are looking to share your time and talents in other ministries.) Sacrament(s)Religious Education CatechistChildren's Liturgy of the Word CatechistExtraordinary Minister of Holy CommunionLectorMusic MinistryCommunity Outreach MinistryScouts

• Additional Family Members

• Family Member 1

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 2

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 3

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 4

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 5

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 6

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 7

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

• Family Member 8

• First Name:
• Middle Name:
• Last Name:
• Nickname:
• Suffix:
• Sex: —Please choose an option—MaleFemale
• Date of Birth:
• Marital Status: —Please choose an option—Single (or never married)MarriedDivorcedWidowedSeparated
• Email Address:
• Mobile Number:

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