New Parishioner Registration Form
Email *
Household Mailing Name (Example: John and Sue Smith)
Address
City
State
Zip Code
Telephone Number 
Head of Household Information
Please answer the following questions for the Head of Household
Last Name
First Name
Maiden Name (if applicable)
Cell Phone Number
Gender
Clear selection
Marital Status
Clear selection
Birth Date
MM
/
DD
/
YYYY
Email
Occupation
Catholic
Clear selection
Please select the Sacraments received
SPOUSE INFORMATION
Please answer the following questions for the Spouse
Last Name
First Name
Maiden Name (if applicable)
Cell Phone
Gender
Clear selection
Marital Status
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Email
Occupation
Catholic
Clear selection
Please select the Sacraments received
Children (if applicable)
Please list Children that reside at the address listed above.
Child 1 Name 
C1 Gender
Clear selection
C1 Date of Birth
MM
/
DD
/
YYYY
C1 School & Grade
C1 Sacraments - Please select Sacraments received
Child 2 Name
C2 Gender
Clear selection
C2 Date of Birth
MM
/
DD
/
YYYY
C2 School & Grade

C2 Sacraments - Please select Sacraments received
Child 3 Name
C3 Gender
Clear selection
C3 Date of Birth
MM
/
DD
/
YYYY
C3 School & Grade
C3 Sacraments - Please select Sacraments received
Child 4 Name
C4 Gender
Clear selection
C4 Date of Birth
MM
/
DD
/
YYYY
C4 School & Grade
C4 Sacraments - Please select Sacraments received 
Child 5 Name
C5 Gender
Clear selection
C5 Date of Birth
MM
/
DD
/
YYYY
C5 School & Grade
C5 Sacraments - Please select Sacraments received
Our Lady Catholic Church Ministries and Organizations
Please check what Ministries or Organizations you would be interested in participating in or learning more about.  You can explore all that Our Lady has to offer on our website at www.olparish.org.
Ministry/Organization
Do you prefer the ministry/organization to contact you via phone or email?
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