Register with our Parish – Parish of St. Ann

Family Last Name*

Local Mailing Address*

Street Address Address Line 2 City State ZIP Code

Are you a permanent resident at Bethany Beach?*

Yes

Other Address

Street Address Address Line 2 City State ZIP Code

Which is your primary address?*

Mailing

Other

Local Phone Number for family

Other Phone Number for family

Cell Phone Number for family

Email for family contact

Send Email Instead of Mail When Possible?*

Yes

Marital Status*

Wife's Maiden Name*

Couple Married by*

Priest

Deacon

Other

Number of Children Living at Home*

Please enter a number from 0 to 15.

Family Information

Only list children living at home. If more than three, please list information in the Additional Information Textbox below. If a child’s last name is different than the family name, please list the last name.

Head of Household

Name*

Personal Phone

Personal Email

Date of Birth*

Sacraments/Faith Status*

Please Check All That Apply.

Baptized

Catholic

First Communion

Penance

Confirmation

None

Occupation*

(Previous, If Retired)

School Attending (if Student)*

Put ‘N/A’ if you’re not a student

Language

Other than English spoken at home

Sex*

Male

Female

Race*

Spouse

Name*

Date of Birth*

Sacraments/Faith Status*

Please Check All That Apply.

Baptized

Catholic

First Communion

Penance

Confirmation

None

Occupation*

(Previous, If Retired)

School Attending (if Student)*

Put ‘N/A’ if you’re not a student

Language

Other than English spoken at home

Sex*

Male

Female

Race*

Child-1

Name*

Date of Birth*

Sacraments/Faith Status*

Please Check All That Apply.

Baptized

Catholic

First Communion

Penance

Confirmation

None

Occupation*

(Previous, If Retired)

School Attending (if Student)*

Put ‘N/A’ if you’re not a student

Language

Other than English spoken at home

Sex*

Male

Female

Race*

Child-2

Name*

Date of Birth*

Sacraments/Faith Status*

Please Check All That Apply.

Baptized

Catholic

First Communion

Penance

Confirmation

None

Occupation*

(Previous, If Retired)

School Attending (if Student)*

Put ‘N/A’ if you’re not a student

Language

Other than English spoken at home

Sex*

Male

Female

Race*

Child-3

Name*

Date of Birth*

Sacraments/Faith Status*

Please Check All That Apply.

Baptized

Catholic

First Communion

Penance

Confirmation

None

Occupation*

(Previous, If Retired)

School Attending (if Student)*

Put ‘N/A’ if you’re not a student

Language

Other than English spoken at home

Sex*

Male

Female

Race*

Additional Information

If more space is needed for additional family members, please list answers to the questions as they appear in the section above.

Parish Financial Support

Please indicate your preferred method of contributing to the parish. Note that you will NOT be mailed monthly contribution envelopes unless you select that preference below. Also, online giving is always possible, even if it is not your preferred method.

Thank you!*

Online giving

Church envelopes

Other

Parish Activities

If you or anyone else listed on this form are interested in sharing your time by participating in a parish activity, please cut and paste the link below into your browser. Please fill out one form for each person who is volunteering

If multiple members of your family wish to volunteer, it’s best to fill out one form for each person.

Click here to open a ministry volunteer form

Disabilities

List Name of Family Member and List Type of Disability (Hearing Impaired, Physically Handicapped, Mentally Handicapped, Blind, Other)

Directions

Directions*

Plese list directions to your Bethany area home to assist the Pastor in reaching your home in an emergency. Please list directions in the space below from St. Ann’s to your home.

CAPTCHA

Phone

Comments

This field is for validation purposes and should be left unchanged.