Parishioner Registration and Information Change Form
You can call the parish office at (773) 472-3711 and give the information directly to the secretary or use this easy form to submit your registration or to make changes to your existing registration data.

IMPORTANT: Click the "SUBMIT" button when you are finished. An email acknowledging receipt of this information will be sent to the email provided.

Choose one of the following reasons for using this form: *
Reason for leaving the parish?
Your answer
Last Name *
Your answer
First Name *
Your answer
If you are married: Spouse's first and last name (if different)
Your answer
Address and Contact Information
Street Address *
Your answer
Apt. Number
Your answer
Zip +4 Zip Code *
If +4 is unknown, enter zeros.
Your answer
Home Phone (with area code) *
Your answer
Email address *
(Your email is used for parish purposes only. We respect your privacy and do not distribute email to advertisers.)
Your answer
Do you have school-aged children? *
Add additional information or comments if you wish.
Your answer
Submit
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This form was created inside of St. Mary of the Lake Church.