Parishioner Registration

ABOUT
SACRAMENTS
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ABOUT
SACRAMENTS
FORMATION
HEALING
STEWARDSHIP
GIVE
NEWS & EVENTS

You Belong Here!

If you have been seeking a parish community in which to learn, to pray, to join in social activity and to be of service to others - our doors and hearts are open. We are thankful God has brought you to us, and we welcome you to our parish family. If you would like to join our parish community and register as a member, please complete the form below.

* Indicates required field

Family Last Name *

Phone *

Please include area code.

Address *

Email *

City *

Zip *

I would like more information about: *

Becoming a Catholic Completing my Sacraments Having my child (ren) Baptized St. Mary's School Small Groups Faith Formation for children Knights of Columbus Women's Guild

Church Support *

I would like to Give online. I would like to receive envelopes.

ADULT 1

FIRST NAME *

MIDDLE NAME *

LAST NAME *

Maiden Name (If applicable) *

Gender *

Cell Number *

Please include area code.

Date of Birth *

MARK ALL SACRAMENTS COMPLETED IN THE CATHOLIC CHURCH *

Baptism Holy Communion Confirmation Matrimony None

ADULT 2

FIRST NAME *

MIDDLE NAME *

LAST NAME *

Maiden Name (If applicable) *

Gender *

Cell Number *

Please include area code.

Date of Birth *

MARK ALL SACRAMENTS COMPLETED IN THE CATHOLIC CHURCH *

Baptism Holy Communion Confirmation Matrimony None

Please fill out the following information if you have children living at home.

CHILD 1

FIRST NAME *

MIDDLE NAME *

LAST NAME *

School Attending *

GRADE *

Gender *

Date of Birth *

SACRAMENTS COMPLETED *

Baptism First Communion Confirmation

CHILD 2

FIRST NAME *

MIDDLE NAME *

LAST NAME *

School Attending *

Grade *

Gender *

Date of Birth *

Sacraments Completed *

Baptism First Communion Confirmation

CHILD 3

FIRST NAME *

MIDDLE NAME *

LAST NAME *

School Attending *

Grade *

Gender *

Date of Birth *

Sacraments Completed *

Baptism First Communion Confirmation

CHILD 4

FIRST NAME *

MIDDLE NAME *

LAST NAME *

School Attending *

Grade *

Gender *

Date of Birth *

Sacraments Completed *

Baptism Holy Communion Confirmation

Additional Family Members *

Submit

Stay Connected with St. Mary's Parish

We use Flocknote to share the most up to date information with our parishioners, organizations, and service groups. All that we request is your cell phone number and email address to make this happen. No passwords, no other personal information needed.
There are two ways to sign up:
Go to: https://stmarysparish3.flocknote.com/ OR
text the word PONTIAC to 84576.

Be sure to check out our weekly bulletin and monthly parish newsletter to stay in the know.

St. Mary's Catholic Church
Father Robert Rayson, Pastor
119 E. Howard St., Pontiac, IL 61764
Phone (815) 844-7683

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