Database Information Form

Please complete the following information if you would like to be included in St. Mary's Church Directory. PLEASE NOTE: only starred (*) items will be included in the directory. All other information is for the church's internal database. You may enter the information online, or download the attached Database Information Form by clicking here, and return it to the church office by February 28.

*Family Surname:
*Street Address, City, State and Zip Code
Primary Mailing Address (if different):
*Telephone (home)
*Adult (1): Full Name
Goes by (name):
*Email address:
Cell phone number:
Business/Work (if applicable):
Work Phone (if applicable):
Birthday (month and day only)
I am interested in the following St. Mary's ministries:
*Adult (2): Full Name
Goes by (name):
*Email address:
Cell Phone number:
Business/Work (if applicable):
Work Phone (if applicable):
Birthday (month and day only)
I am interested in the following St. Mary's ministries:
*Children: please include names of children, including date of birth and school, if attending: