Online New Member Registration Form

Thank you for taking the time to complete your New Member Registration Form for The Basilica of Saint Mary in Minneapolis, Minnesota.
The information you provide is used by the staff of The Basilica of Saint Mary to help you become involved in our parish, to help us understand the parish demographics for program planning, and it allows us to keep you informed of parish activities.

Personal Information

Complete Information Below
Field Is Required Date of Birth:
If you respond and have not already registered, you will receive periodic updates and communications from The Basilica of Saint Mary.
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Business Information

(Maximum response 255 chars, approx. 5 rows of text)

Sacramental Information

Please complete all information to the best of your ability. If you are not sure of your sacramental dates, provide as much information as you can accurately recall.

Baptism Date, if known
First Communion Date, if known
First Reconciliation Date, if known
Confirmation Date, if known
Marriage Date

Additional Household Members

Do you have a spouse or additional adult living in your household?

Spouse/Second Adult Information

Spouse/Second Adult Birthdate

Spouse/Second Adult Business Information

(Maximum response 255 chars, approx. 5 rows of text)

Spouse/Second Adult Sacramental Information

Please complete all information to the best of your ability. If you are not sure of your sacramental dates, provide as much information as you can accurately recall.

Spouse/Second Adult Baptism Date, if known
Spouse/Second Adult First Communion Date, if known
Spouse/Second Adult First Reconciliation Date, if known
Spouse/Second Adult Confirmation Date, if known
Spouse/Second Adult Marriage Date
Do you have children living in your household?

 

Children in Household

Child 1

Child 1 - Relationship to Head of Household (Select one of the available choices or enter a different value.)
Child 1 - Birthdate
Child 1 - Gender
Child 1 - Baptism Date, if known
Child 1 - First Communion Date, if known
Child 1 - First Reconciliation Date, if known
Child 1 - Confirmation Date, if known

 


Child 2

Child 2 - Relationship to Head of Household (Select one of the available choices or enter a different value.)
Child 2 - Birthdate
Child 2 - Gender
Child 2 - Baptism Date, if known
Child 2 - First Eucharist Date, if known
Child 2 - First Reconciliation Date, if known
Child 2 - Confirmation Date, if known

 


Child 3

Child 3 - Relationship to Head of Household (Select one of the available choices or enter a different value.)
Child 3 - Birthdate
Child 3 - Gender
Child 3 - Baptism Date, if known
Child 3 - First Eucharist Date, if known
Child 3 - First Reconciliation Date
Child 3 - Confirmation Date, if known

 


Child 4

Child 4 - Relationship to Head of Household (Select one of the available choices or enter a different value.)
Child 4 - Birthdate, if known
Child 4 - Gender
Child 4 - Baptism Date, if known
Child 4 - First Eucharist Date, if known
Child 4 - First Reconciliation Date, if known
Child 4 - Confirmation Date, if known
Additional children?
If you have more children to add, please contact Melissa Streit at mstreit@mary.org after you've submitted your form.

   Please leave this field empty