Parish Registration

Thank you for taking the time to officially register with Our Lady's Parish.  We are pleased to welcome you to our parish community.  Please fill out the form as completely as possible and then click submit.  If you should have any questions, please don't hesitate to contact the Parish Office.

Thank You and God Bless

Contact Information
Last Name
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Address
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Please write in full address; city, state and zip code
Primary Phone --
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Secondary Phone --
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Email Address
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General Information
First Name
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Last Name - If different than family last name
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Date of Birth //
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Occupation
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Religion
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Marital Status
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Spouse First Name (with Maiden Name if Married)
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Date of Birth //
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Occupation
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Religion
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Persons in Household
Aside from people mentioned above, please list all persons living at above address.
Name
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Please specify
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Date of Birth //
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Please Specify
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Name
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Please Specify
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Date of Birth //
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Please Specify
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Name
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Please Specify
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Date of Birth //
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Please Specify
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Contributions
Please Choose One:
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