Saint Maximilian Kolbe Church

Love the Blessed Virgin Mary and her son Jesus with a pure and sacrificial heart.

130 Saint Maximilian Lane * Toms River, NJ 08757
Phone: 732-914-0300 * Fax: 732-240-9517 * E-Mail: stmaximiliankolbechurch@gmail.com
Office Hours: 9:00 am – 2:00 pm Monday - Thursday & Closed Fridays

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Parish Registration

To download a printable form, click here.

Welcome to our parish. Please complete the following registration form and call us if you have any questions.

Family Name *

Address *

Phone Number *

Email address *

First Name (Husband or Single Male)

Middle Initial

Date of Birth

Religion

Baptized?

Yes

1st Communion?

Yes

Confirmed?

Yes

Mass Attendance

Regular

Occasional

Homebound

First Name (Wife or Single Female)

Middle Initial

Date of Birth

Religion

Baptized?

Yes

1st Communion?

Yes

Confirmed?

Yes

Mass Attendance

Regular

Occasional

Homebound

List Below Adult (Over 19) Relatives, Boarders or Domestic Living with Above Family

First Name

Middle Initial

Last Name

Date of Birth

Religion

Baptized?

Yes

1st Communion?

Yes

Confirmed?

Yes

Mass Attendance

Regular

Occasional

Homebound

Relation

List Below Adult (Over 19) Relatives, Boarders or Domestic Living with Above Family

First Name

Middle Initial

Last Name

Date of Birth

Religion

Baptized?

Yes

1st Communion?

Yes

Confirmed?

Yes

Mass Attendance

Regular

Occasional

Homebound

Relation

If you are unable to come to Mass, can we arrage for an Extraordinary Minister of Holy Communion, a member of the Pastoral Care team to visit you?

Yes

The day(s) and time(s) which are most convenient to you are:

Please check any ministry you wish to take part in

Choir

Lector

Usher

Eucharistic Minister

Altar Server

Altar Rosary

Legion of Mary

Holy Name

Bingo Kitchen Help

Bingo Help

Greeters

Hospitality

Prayer Shawl Team

Homebound & Sick Visitations

Bereavement Ministry

Fundraising Team

Social Concerns

Other

If you selected "Other", please specify

To be helpful with church contributions, please choose one of the following

Parish eGiving

Offering Envelopes

If you choose to use Parish eGiving, please be sure to complete the Parish eGiving form on the homepage of our website.

If you choose to make contributions by the use of Offering Envelopes, please allow 3-4 weeks to process your registration and for your envelopes to arrive.

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