St. Martha Catholic Church » Parish Registration

Parish Registration

Use the form below to register for our Parish. One of our staff will be in contact after reviewing your submission. Contact us if you have any issues or questions about the submission process.

Currently registered with the Diocese of Venice? *

Yes
No

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone / Mobile Phone Number *

Alternate Address

Address Line 1

Address Line 2

City

State

Zip Code

Member 1

Member 2

Member 3

Member 4

Title

Title

Title

Title

First Name *

First Name

First Name

First Name

Middle Name *

Middle Name

Middle Name

Middle Name

Last Name *

Last Name

Last Name

Last Name

Suffix

Suffix

Suffix

Suffix

Gender *

Gender

Gender

Gender

Date of Birth *

Date of Birth

Date of Birth

Date of Birth

Birth Place *

Birth Place

Birth Place

Birth Place

Religion *

Religion

Religion

Religion

Marital Status *

Marital Status

Marital Status

Marital Status

Email *

Email

Email

Email

Cell Phone *

Cell Phone

Cell Phone

Cell Phone

Occupation *

Occupation

Occupation

Occupation

Sacraments

Baptism

Please list Date, Parish, and Location

Baptism

Please list Date, Parish, and Location

Baptism

Please list Date, Parish, and Location

Baptism

Please list Date, Parish, and Location

First Communion

Please list Date, Parish, and Location

First Communion

Please list Date, Parish, and Location

First Communion

Please list Date, Parish, and Location

First Communion

Please list Date, Parish, and Location

Confirmation

Please list Date, Parish, and Location

Confirmation

Please list Date, Parish, and Location

Confirmation

Please list Date, Parish, and Location

Confirmation

Please list Date, Parish, and Location

Marriage

Please list Date, Parish, and Location

Marriage

Please list Date, Parish, and Location

Marriage

Please list Date, Parish, and Location

Marriage

Please list Date, Parish, and Location