Phone Email Facebook Flocknote

Online Registration

- About
  - Welcome
    
    Catholics Come Home
    Contact Us
    
    Online Registration
    
    History of our Parish
    Welcome Letter
  - Clergy & Staff
    
    Pope Francis
    Our Bishop
    Parish Clergy & Staff
    Finance Committee
    Pastoral Council
  - Local News
    
    Encountering Christ Diocesan Capital Campaign
    Events
    Google Calendar
    News Archive
    Photo Albums
    Weekly Bulletin
  - Catholic News
    
    Book Reviews
    Catholic News
    Movie Reviews
    Listen to RED-C Radio Online
Links
- Contact Us / Directions

Welcome

We invite you to join us as a member of our parish. All are welcome! If you would like to receive a Welcome Packet, email us and provide us with your mailing address.

If you wish to become a member of St. Mary of the Assumption Catholic Church, please complete the form below. This form will be submitted to church office personnel who will complete your registration process.

If you have any questions, please call us at 254-753-0146.

You may also stop by the Parish Office during Office Hours and pick up a hard copy registration form.
Online Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  ID #
  This is assigned by diocese
  Please enter valid data.
  
  Is this a new registration or an Update? New Update
  
  Visitor
  
  Relocating (Remove family from church database)
  
  Home Bound
  
  Nursing Home
  If "YES", please enter name of nursing home below.
  
  Name of Nursing Home Please enter valid data.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Mailing Address
  If different from address above.
  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.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Unlisted?
  
  Family Email REQUIRED Please fill out this field. Please enter an email address.
  
  I / We would like to receive offertory envelopes.
  
  I / We give permission for our family information to be published in the parish directory. REQUIRED
  If "NO," only name may be published. I / We realize that St. Mary publishes an annual Directory.
  Please fill out this field.
- Head of Household #1
  
  Last REQUIRED Please fill out this field. Please enter valid data.
  
  Title
  If Title is "Other," please enter in space below.
  
  Other Title Please enter valid data.
  
  First REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Please enter valid data.
  
  Maiden Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Suffix
  If Suffix is "Other," please enter in space below.
  
  Other Suffix Please enter valid data.
  
  Marital Status
  If Marital Status is "Other," please enter it in the space below.
  
  Other Marital Status Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Ethnic Type Please enter valid data.
  
  Primary Language Please enter valid data.
  
  2nd Language Please enter valid data.
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Marriage
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Would you like to receive information to complete the Sacraments?
  
  Are you interested in the RCIA process?
  
  Ministries in which you are interested in serving.
- Head of Household #2
  
  Last Please enter valid data.
  
  Title
  If Title is "Other," please enter in space below.
  
  Other Title Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Maiden Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Suffix
  If Suffix is "Other," please enter in space below.
  
  Other Suffix Please enter valid data.
  
  Marital Status
  If Marital Status is "Other," please enter it in the space below.
  
  Other Marital Status Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Ethnic Type Please enter valid data.
  
  Primary Language Please enter valid data.
  
  2nd Language Please enter valid data.
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Marriage
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Would you like to receive information to complete the Sacraments?
  
  Are you interested in the RCIA process?
  
  Ministries in which you are interested in serving.
- Minor Child #1 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Minor Child #2 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Minor Child #3 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Minor Child #4 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Minor Child #5 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Minor Child #6 (under the age of 18)
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Baptism
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Reconciliation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  First Communion
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
  
  Confirmation
  Enter Yes or No; if "Yes" include Date, Location, City & State.
  Please enter valid data.
- Other Adult #1 (18 & over) who live with you.
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Sacraments Received Please enter valid data.
  
  Relationship to Heads of Household Please enter valid data.
  
  Is this person homebound or invalid?
  
  If "Yes," would they like to receive communion at home?
- Other Adult #2 (18 & over) who live with you.
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Sacraments Received Please enter valid data.
  
  Relationship to Heads of Household Please enter valid data.
  
  Is this person homebound or invalid?
  
  If "Yes," would they like to receive communion at home?
- Other Adult #3 (18 & over) who live with you.
  
  Last Please enter valid data.
  
  First Please enter valid data.
  
  Middle Please enter valid data.
  
  Informal or Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Female Male
  
  Sacraments Received Please enter valid data.
  
  Relationship to Heads of Household Please enter valid data.
  
  Is this person homebound or invalid?
  
  If "Yes," would they like to receive communion at home?
Submit

Saint Mary,

CHURCH OF THE ASSUMPTION

Online Registration

Links

Welcome

Online Registration Form