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 USA.

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.

Upon completing the information for your household please be sure to scroll to the bottom of the review screen to "submit" your form.

New Member Registration

Personal Information

Complete Information Below

Title*

First Name*

Middle Name/Initial

Last Name*

Suffix

Nickname

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Maiden Name

Birthdate*

Gender*

Marital Status*

Religion

1st Spoken Language

2nd Spoken Language

Address

Address Line*

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City*

State*

ZIP*

Email*

Home Phone*

Mobile Phone

Business Information

Profession

Employer Name

Business Address

Business City

Business State/Province

Business Zip

Business Phone

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

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Baptism Church Name

Baptism City State

First Communion Date

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First Communion Church Name

First Communion City State

First Reconciliation Date

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First Reconciliation Church Name

First Reconciliation City State