Download the Form here: Parish Registration Form or fill out the form below: Family Last Name*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a permanent resident at Bethany Beach?*YesNoOther Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which is your primary address?*MailingOtherLocal Phone NumberOther Phone NumberCell Phone Number*Email* Send Email Instead of Mail When Possible?*YesNoMarital Status*SingleMarriedWidow(er)SeparatedDivorcedWife's Maiden Name*Couple Married by*PriestDeaconNumber of Children Living at Home*Please enter a number from 0 to 15.Family InformationOnly 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 HouseholdName*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments/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 studentLanguageOther than English spoken at homeSex*MaleFemaleRace*SpouseName*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments/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 studentLanguageOther than English spoken at homeSex*MaleFemaleRace*Child-1Name*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments/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 studentLanguageOther than English spoken at homeSex*MaleFemaleRace*Child-2Name*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments/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 studentLanguageOther than English spoken at homeSex*MaleFemaleRace*Child-3Name*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sacraments/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 studentLanguageOther than English spoken at homeSex*MaleFemaleRace*Additional InformationPlease list any additional information or children living at home.Additional InformationPlease list answers to the questions as they appear above.Parish ActivitiesIndicate if interested in participationHead of Household Interest* Student Altar Servers Adult Altar Server (Daily Mass) Catechist Choir Money Counters Extraordinary Minister of Holy Communion Lector Men's Club Parent's Association Prayer Group Children's Liturgy of the Word RCIA Sodality Greeters Ushers Bible Study St. Ann's Youth Organization Religious Gift Shop St. Ann's Bazaar Marriage Prep Baptism Prep Other (Describe Below) None Spouse Interest* Student Altar Servers Adult Altar Server (Daily Mass) Catechist Choir Money Counters Extraordinary Minister of Holy Communion Lector Men's Club Parent's Association Prayer Group Children's Liturgy of the Word RCIA Sodality Greeters Ushers Bible Study St. Ann's Youth Organization Religious Gift Shop St. Ann's Bazaar Marriage Prep Baptism Prep Other (Describe Below) None Child 1 Interest* Student Altar Servers Adult Altar Server (Daily Mass) Catechist Choir Money Counters Extraordinary Minister of Holy Communion Lector Men's Club Parent's Association Prayer Group Children's Liturgy of the Word RCIA Sodality Greeters Ushers Bible Study St. Ann's Youth Organization Religious Gift Shop St. Ann's Bazaar Marriage Prep Baptism Prep Other (Describe Below) None Child 2 Interest* Student Altar Servers Adult Altar Server (Daily Mass) Catechist Choir Money Counters Extraordinary Minister of Holy Communion Lector Men's Club Parent's Association Prayer Group Children's Liturgy of the Word RCIA Sodality Greeters Ushers Bible Study St. Ann's Youth Organization Religious Gift Shop St. Ann's Bazaar Marriage Prep Baptism Prep Other (Describe Below) None Child 3 Interest* Student Altar Servers Adult Altar Server (Daily Mass) Catechist Choir Money Counters Extraordinary Minister of Holy Communion Lector Men's Club Parent's Association Prayer Group Children's Liturgy of the Word RCIA Sodality Greeters Ushers Bible Study St. Ann's Youth Organization Religious Gift Shop St. Ann's Bazaar Marriage Prep Baptism Prep Other (Describe Below) None Other Interest*List Person along with other interestDisabilitiesDisabilitiesList Name of Family Member and List Type of Disability (Hearing Impaired, Physically Handicapped, Mentally Handicapped, Blind, Other)DirectionsDirections*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.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.