SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

REGISTRATION DATE: ______ENVELOPES: ___YES ___NO PARISHIONER NUMBER: ______

(To be assigned by parish office)

HEADS OF HOUSEHOLD:

LAST Name / FIRST Name / MIDDLE / Sex / Birth Date / Religion / Baptized / 1stComm. / Confirmed
___/___/___ / Y / N / Y / N / Y / N
___/___/___ / Y / N / Y / N / Y / N

STATUS:(Please circle one): Married Single Widowed Separated Divorced

MAILING ADDRESS: ______

City:______State: _____ Zip Code: ______Village / Dev. Name(if applicable): ______

HOME PHONE: CELL PHONE: E-MAIL: ______

RESIDENT: (Please circle one): Permanent / Seasonal If Seasonal: Arrival Date: ______/ Departure Date: ______

ALTERNATE ADDRESS (if seasonal):______

City:______State: _____ Zip Code: ______ALTPHONE:

OTHER HOUSEHOLD MEMBERS: (Please Circle Yes or No)

FIRST Name / MIDDLE Name / LAST Name (if different) / Sex / Birth Date / Religion / Baptized / 1stComm. / Confirmed
___/___/___ / Y / N / Y / N / Y / N
___/___/___ / Y / N / Y / N / Y / N
___/___/___ / Y / N / Y / N / Y / N
___/___/___ / Y / N / Y / N / Y / N

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SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

OFFICE USE: Date & Initial

Envelopes (Blank or Instaset)______

P.D.S.: ______

Welcome Letter:______

Email Ministries ______

Snowbird List: ______

Envelope Tracker: ______

New P. List: ______

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SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

MARRIAGE DATE: ______CHURCH NAME/LOCATION: ______

EMPLOYMENT: (Please Circle One) Retired Employed

If Retired, Former Occupation: [Mr.] ______[Mrs./Ms.] ______

If Employed, Current Employer/s: [Mr.] ______[Mrs./Ms.] ______

MINISTRIES & ACTIVITIES: Please mark any ministries or organizations that you may be interested in joining OR would like to learn more about.

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SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

______Altar Care / Altar Linens

______Altar Server

______Bible Study

______Bulletin Preparation

______Catholic Daughters of America

______Cenacle Prayer Group

______Charismatic Prayer Group

______Communion Service Ministry*

(*preside asassist living facilities)

______Consolation Ministry

______Extraordinary Minister of Communion*

(*serve Communion at Mass)

______Garden Club

______Grief Support

______Hospitality

______Knights of Columbus

______Love thy Neighbor

______Marriage Encounter

______Men’s Guild

______Money Counters

______Ministry to the sick*

(*bring communion to hospital & home bound)

______Multi/Media Sound System

______Music Ministry/Cantor/Choir

______Office Volunteers

______Prayer Shawls

______RCIA

______Reader

______Religious Education Adult

______Respite Care

______Right to Life

______Rosary Prayer Groups
______Sacristan

______Secular Franciscans

______Small Christian Community

______Saint Vincent de Paul Society

______Usher

______Women’s Guild
______Other

s:\02 staff documents\parishioners\new parishioners\forms\registration form 8.22.2017.docxPLEASE TURN OVER

SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

s:\02 staff documents\parishioners\new parishioners\forms\registration form 8.22.2017.docxPLEASE TURN OVER

SAINT MARK THE EVANGELIST REGISTRATION FORM Updated 8.22.17

s:\02 staff documents\parishioners\new parishioners\forms\registration form 8.22.2017.docxPLEASE TURN OVER