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
Address	Required*
Primary Phone	Required* --
Secondary Phone	--
Email Address	Required*

General Information

Marital Status

First Name

First Name*

Last Name*

Date of Birth

Occupation

Religion

First Name (with Maiden Name if Married)

First Name*

Last Name*

Date of Birth

Occupation

Religion

Persons in Household

Aside from people mentioned above, please list all persons living at above address.

Name

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Contributions

Please Choose One:	Required*