New Parishioner Registration

To become a registered member of St. Mary Magdalen parish, please complete this form with information for each adult and child in your household. You will receive a reply from the parish office.

Were you a registered member of Immaculate Conception/Maplewood? REQUIRED Please fill out this field.

Adult 1 First, Middle, Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. 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.

Your phone number will appear in our printed directory unless you indicate below that it should be unlisted

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

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Are you Baptized Confirmed Catholic

Marital Status Single Catholic marriage Non-Catholic marriage Engaged Widowed Divorced

Location (church) and date of wedding Please enter valid data.

Adult 2 First and Last Name Please enter valid data.

Adult 2 Phone Number Please enter a phone number.

Adult 2 Email Please enter an email address.

Adult 2 Date of Birth Please enter valid data.

Adult 2 Baptized Confirmed Catholic

Please list children to be included in your household:

Child 1 - First, Middle, Last Name Please enter valid data.

Child 1 Date of Birth Please enter valid data.

Child 1 Baptized Confirmed Catholic

Child 2 - First, Middle, Last Name Please enter valid data.

Child 2 Date of Birth Please enter valid data.

Child 2 Baptized Confirmed Catholic

Child 3 - First, Middle, Last Name Please enter valid data.

Child 3 Date of Birth Please enter valid data.

Child 3 Baptized Confirmed Catholic

Child 4 - First, Middle, Last Name Please enter valid data.

Child 4 Date of Birth Please enter valid data.

Child 4 Baptized Confirmed Catholic

Child 5 - First, Middle, Last Name Please enter valid data.

Child 5 Date of Birth Please enter valid data.

Child 5 Baptized Confirmed Catholic

Please let us know if you have any questions or have additional information to share.

ST. MARY MAGDALEN CATHOLIC CHURCH

2618 s. brentwood boulevard brentwood, missouri 63144 314-961-8400

New Parishioner Registration