Parish Registration Form
Please fill out the following to start your registration at Our Lady of Perpetual Help Catholic Church.
Family Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Phone Number *
Your answer
Head of Household Information:
Name *
Your answer
Maiden Name (if applicable)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Cell number
Your answer
Email Address *
Your answer
Religion
Your answer
Occupation
Your answer
Spouse Information:
Name
Your answer
Maiden Name (if applicable)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Cell Number
Your answer
Email Address
Your answer
Religion
Your answer
Occupation
Your answer
Marital Status *
Required
Marriage Date
MM
/
DD
/
YYYY
Full Name and Date of Birth of Each Child:
Your answer
Sacramental Information:
We have received the following Sacraments:
Baptism
First Reconciliation
First Communion
Confirmation
None
Head of Household
Spouse
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
I/We have prayerfully considered tithing to the parish by: *
Required
Thank you for your time! Welcome to the Our Lady of Perpetual Help Parish Family!
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