Parish: 1000 N Jefferson Ave; Goldsboro, N.C. 27530
Parish Office: 1603 Edgerton Street, Goldsboro, N.C. 27530
School: 1601 Edgerton Street, Goldsboro, N.C. 27530

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- Welcome

Saint Mary's Parish Registation Form

Please fill out this form completely. ALL INFORMATION IS COFIDENTIAL
If you have any questions, please class the parish office (919) 734-5033 ext. 210 or 226.
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- Head of House Hold
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Address 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Sacraments Recivied Baptism Commuion Confirmation
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Martial Status REQUIRED Please fill out this field.
  
  Would you like to recive offertory envelopes? REQUIRED Please fill out this field.
- Head of House Hold
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Address 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Sacraments Recivied Baptism Commuion Confirmation
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Race REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Martial Status REQUIRED Please fill out this field.
  
  Would you like to recive offertory envelopes? REQUIRED Please fill out this field.
- Number of Family Members REQUIRED Please fill out this field.
  
  Family Members 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
  
  Family Members 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
  
  Family Members 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
  
  Family Members 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
  
  Family Members 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
  
  Family Members 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Sacraments Completed Baptism Communion Confirmation
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St. Mary Catholic Parish

Parish Office 919.734.5033
School: 919.735.1931

Join Our Parish

Saint Mary's Parish Registation Form