Parish Registration PDF Print E-mail

Welcome to Our Lady's and thank you for filling out the registration form. All information is kept confidential. If you or one of your family members would like to be active in Church Ministry, please see General Information of the registration form and we will have the person who is responsible for that group contact you.

If you have any questions, you may call Fr. Norm at 892-8288, Larry Guertin ... Our Lady's Parish Catechetical Leader at 892-8922 or Donnamarie Inman.. (Our Lady's Office Corrdinator/Secretary at 892-8288 or 892-8922).

Mailing/Contact Information:
Mailing Salutation Home Phone
Mailing Address Cell Phone (His)
Zip Code Cell Phone (Her)
Physical Address Email Address
Zip Code  
Languages spoken in the Home  

Parish History:

Previous Parish City/State

Head of Household

 

 Title Suffix
Last Name: First Name Middle Name
Maiden Name if applicable Birth Date
Gender Religion Marital Status Health Issue
Baptized Church of Baptism
  City State
1st Eucharist Church of 1st Eucharist
  City State
Confirmation Church of Confirmation
  City State
Occupation Place of Employment
Phone (optional)    

 

Second Adult in Household

 Title Suffix
Last Name: First Name Middle Name
Maiden Name if Applicable Birth Date
Gender Religion Marital Status Health Issue
Baptized Church of Baptism
  City State
1st Eucharist Church of 1st Eucharist
  City State
Confirmation Church of Confirmation
  City State
Occupation Place of Employment
Phone (optional)    

 

Marital Status

 
Church Married:
Name of Church/Place
City State

Name of Person & Title Performing Ceremony

 Date
Civil Marriage:
Name of Place:
City State

Name of Person & Title Performing Ceremony

 Date
Other Status:

 

Child in Household
Last Name: First Name: Middle Name: Suffix:
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:
Confirmation Church of Confirmation:
  City: State:
School Child Attends: Grade:

 

Child in Household
Last Name: First Name: Middle Name:

Suffix:

Sr
Jr
III
IV
Other
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:
Confirmation Church of Confirmation:
  City: State:
School Child Attends: Grade:

 

Child in Household
Last Name: First Name: Middle Name: Suffix:
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:
Confirmation Church of Confirmation:
  City: State:
School Child Attends: Grade:

 

Child in Household
Last Name: First Name: Middle Name: Suffix:
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:
Confirmation Church of Confirmation:
  City: State:
School Child Attends: Grade:

Child in Household
Last Name: First Name: Middle Name: Suffix:
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:

Confirmation

Yes
No

 Church of Confirmation:
  City: State:
School Child Attends: Grade:

 

Child in Household
Last Name: First Name: Middle Name: Suffix:
Birth Date: Gender: Religion: Health Issue:
Baptized Church of Baptism:
  City: State:
1st Eucharist Church of 1st Eucharist:
  City: State:
Confirmation Church of Confirmation:
  City: State:
School Child Attends: Grade:

General Information

Personal Talents: Would you like to share your personal talents/gifts with Our Lady's Family? If so, please tell us about them.

Church Minstry: Would you like to serve in one of the following:

 

Stewardship: Parishioners support the Parish through volunteer services and the use of Offertory envelopes or through ParishPay.

Would you like Offertory Evelopes?

You can register on line for ParishPay. If you have any questions you may speak with Fr. Norm.

 
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