OLPH Parish Registration Form
Please fill out appropriate information below to register with our church. If you have any questions or problems, please don't hesitate to contact us at 201-337-7596 or email us at parish@olphoakland.org. Thank you and welcome to Our Lady of Perpetual Help Church.
Family Information
Family Last Name *
Your answer
Mailing Address *
Your answer
Town *
Your answer
ZIP Code *
Your answer
Home Phone *
Your answer
Is your home phone number:
Marital Status
Marriage Date
mm/dd/yyyy
Your answer
Married by a Priest?
Does your family have any special needs?
Your answer
Head of Household Details
First Name *
Your answer
Middle Name
Your answer
Last Name
if different from Family Last Name
Your answer
Date of Birth
mm/dd/yyyy
Your answer
Religion
Sacraments
Yes
No
Baptism
First Holy Communion
Confirmation
Cell Phone
Your answer
Email Address
Your answer
Occupation1
Your answer
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