Registration Form

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

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

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.

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

Marital Status REQUIRED Please fill out this field. Please enter valid data.

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

Are you baptized? REQUIRED Yes No Please fill out this field.

Are you confirmed? REQUIRED Yes No Please fill out this field.

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

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

Membership REQUIRED Please fill out this field.

Would you like to receive Offertory Envelopes in the mail? REQUIRED Yes No Please fill out this field.

Please add me to the following email list(s): Major Announcements Children's Liturgy Funeral Announcements Music Respect Life Committee Social Concerns Committee

Spouse Information

Spouse's First & Last Name Please enter valid data.
Spouse Date of Birth Please enter a date.
Spouse Religion Please enter valid data.
Spouse Baptized? Yes No
Spouse Confirmed? Yes No
Spouse Occupation Please enter valid data.

Children REQUIRED Please fill out this field.
Child 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Religion Please enter valid data.
- Has child been baptized?
- Has child been confirmed?
Child 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Religion Please enter valid data.
- Has child been baptized?
- Has child been confirmed?
Child 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Religion Please enter valid data.
- Has child been baptized?
- Has child been confirmed?
Child 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Religion Please enter valid data.
- Has child been baptized?
- Has child been confirmed?

Additional Family Members

Holy Cross Catholic Church

Garrett Park, MD

Registration Form