Our Lady of Mount Carmel, Newport News - Parish Registration
Family Name *
Street Address *
Apt. #
City *
Zip Code *
Primary Phone
XXX-XXX-XXXX
Alternate Phone
XXX-XXX-XXXX
Email
Family Member 1 - First Name *
Family Member 1 - Middle Name
Family Member 1 - Maiden Name
Family Member 1 - Last Name *
Family Member 1 - Family Role
Family Member 1 - Date of Birth
MM
/
DD
/
YYYY
Family Member 1 - Gender
Family Member 1 - Marital Status
Family Member 1 - First Language (if not English)
Family Member 1 - Ethnicity
Family Member 1 - Religion
Family Member 1 - Special Needs
Family Member 1 - Occupation
Family Member 1 - Sacraments Received
Family Member 1 - Ministry Information
Please list interests or previous ministry experience
Please list the name and address of your last church or parish (Have you notified this parish of your transfer?):
What prompted you to join Our Lady of Mount Carmel Church?
To sign up for online giving, please go to our parish's eGiving page, https://giving.ncsservices.org/dl/?uid=ncs-1946. If you would rather receive offertory envelopes, please check "Yes" below.
Additional Remarks
Do you have more family members to add? *
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