New Parishioner Registration

Registration Type REQUIRED New Registration Updated Registration Please fill out this field.

Contact Information

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Gender
Religion REQUIRED Catholic Other Please fill out this field.

Street Address REQUIRED Please fill out this field. Please enter valid data.

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

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

Spouse's Information

First Name Please enter valid data.

Last Name Please enter valid data.
Gender
Religion Catholic Other

Postal Code REQUIRED Please fill out this field. Please enter valid data.

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

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

Children under 18 at home REQUIRED
If you have no children, set the number of children to 0.
Please fill out this field.
Child 1
- Child's Name and Birth Date Please enter valid data.
Child 2
- Child's Name and Birth Date Please enter valid data.
Child 3
- Child's Name and Birth Date Please enter valid data.
Child 4
- Child's Name and Birth Date Please enter valid data.
Child 5
- Child's Name and Birth Date Please enter valid data.
Child 6
- Child's Name and Birth Date Please enter valid data.
Child 7
- Child's Name and Birth Date Please enter valid data.
Child 8
- Child's Name and Birth Date Please enter valid data.
Child 9
- Child's Name and Birth Date Please enter valid data.
Child 10
- Child's Name and Birth Date Please enter valid data.

(Any other adults 18+ living at this address should register separately)

Would you like pre-authorized offerings (direct deposit) set up? (if yes, please contact the parish office at [email protected] and a form will be sent to you.) REQUIRED Yes No Please fill out this field.

Or would you prefer a set of offering envelopes? (if yes, a set of envelopes designated to you will be available on the table by the bulletin boards in our foyer — please pick them up) REQUIRED Yes No Please fill out this field.

Date of Registration REQUIRED Please fill out this field. Please enter a date.

Mary, Mother of the Church

A Roman Catholic Parish in the Archdiocese of St. Boniface in Winnipeg

New Parishioner Registration