Contact Form

Parish Registration Form

WELCOME!

We extend our hands and hearts in Christian fellowship to you here celebrating with us,
whether long-time residents or newly arrived in the parish. We thank God that you are
with us. If you are not registered, or have moved, or have other needs,
please fill out this form.

You may either submit it via the button below (which sends an email to our parish secretary)
or simply fill out the fields, print this form, and then mail it to:

St Mary's Parish Office, P.O. Box 287, Visalia, California 93279

CONTACT INFORMATION:

First Name (s)

Last Name

Street Address

City

State/Province

Zip/Postal Code

Old Address (if changed)

Work Phone

Home Phone

ADDITIONAL INFORMATION:

(please select one or more of the following to tell us more about you)

		Brand new parishioner(s) to St. Mary's
		Moved recently and our new address is listed above
		Have lived in area a long time, but never officially registered
		Have changed our phone number, above is the current one
		Moving out of the area, so we have to say "goodbye" to St. Mary's
		I am not able to attend and would like someone to visit me
		I am going to be in the hospital; please call me
		A representative may bring us a "welcome gift" and a list of parish organizations
		I would like to volunteer, below are my preferences: