New Parishioner Online Registration Form

Date / Fecha REQUIRED Please fill out this field. Please enter a date.

Family (Last Name) / Apellido de Familia REQUIRED Please fill out this field. Please enter valid data.

Phone Number / Num. de Telefono REQUIRED Please fill out this field. Please enter a phone number.

Street Address / Dirección 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.

Mailing Address (if different) / Dirección postal (si es diferente) Please enter valid data.

Are you currently registered at a different Parish? / ¿Está inscrito actualmente en otra parroquia? REQUIRED Yes / Si No Please fill out this field.

If Yes, where? / En caso afirmativo, ¿dónde? Please enter valid data.

Have you previously registered at St. Margaret Mary Catholic Church? / ¿Se ha inscrito anteriormente en la iglesia de Santa Margarita María? REQUIRED Yes / Si No Please fill out this field.

Would you like to receive donation envelopes? / ¿Desea recibir sobres para donativos? REQUIRED Yes / Si No Please fill out this field.

Would you like to receive communications from the Diocese of Austin? (exp: CSA, Catholic Spirit) / ¿Desea recibir comunicaciones de la Diócesis de Austin? REQUIRED Yes / Si No Please fill out this field.

Name (Head of Household) / Nombre (Cabeza de Familia) REQUIRED Please fill out this field. Please enter valid data.

Marital Status / Estado Civil REQUIRED Please fill out this field.

Date of Birth / Fecha de nacimiento REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male / Hombre Female / Mujer Please fill out this field.

Religion / Religión REQUIRED Please fill out this field. Please enter valid data.

Occupation / Ocupación REQUIRED Please fill out this field. Please enter valid data.

Phone / Teléfono REQUIRED Please fill out this field. Please enter a phone number.

Business Phone / Teléfono de empresa Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Sacraments Received / Sacramentos recibidos REQUIRED Baptism / Bautizo Reconciliation (Confession) / Reconciliación (confesión) Communion / Comunión Confirmation / Confirmación Marriage / Matrimonio None / Ninguno Please fill out this field.

SPOUSE / ESPOSO(A):

Name / Nombre Please enter valid data.

Gender Male / Hombre Female / Mujer

Date of Birth / Fecha de nacimiento Please enter valid data.

Religion / Religión Please enter valid data.

Occupation / Ocupación Please enter valid data.

Phone / Teléfono Please enter a phone number.

Business Phone / Teléfono de empresa Please enter a phone number.

Email Please enter an email address.