Parishioner Registration

Welcome to Divine Mercy Catholic Church!

If you are new to our parish or have been attending mass with us for a while, we welcome you to register as a member of our faith community. Please complete the following online form or download, print, complete and mail or bring to our parish office at:

1940 N. Courtenay Parkway
Merritt Island, FL 32953

: Family Information
How did you hear about Divine Mercy?: Select one
Family Last Name
Mailing Address
Unit Number
City and State
Zip Code
Primary Phone Number
Primary/Family Email
Marital Status
Primary Language Spoken at Home
Online Giving or Envelopes?
Number of Adult Household Members

: Head of Household 1
Gender: Select One
First Name and Middle Initial
Last Name
Date of Birth
Religion
Which Sacraments have you received?: BaptismFirst EucharistConfirmationHoly MatrimonyN/A
Email
Occupation
Number of children living in this household

Parishioner Registration

Family Information

Head of Household 1

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