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. Joe 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 MrMrsMr & MrsMissMsDrRevSrOther1234Suffix SrJrIIIIVOther
Last Name: First Name Middle Name
Maiden Name if applicable Birth Date
Gender MaleFemale Religion CatholicProtetantBaptistUCCEpiscopalLutheranNazareneAssembly of GodMethodistUnitarianOtherMarital Status SingleMarriedDivorceSeparatedWidowedHealth Issue HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism
 City State
1st Eucharist YesNoChurch of 1st Eucharist
 City State
Confirmation YesNoChurch of Confirmation
 City State
Occupation Place of Employment
Phone (optional)   

 

Second Adult in Household

Title MrMrsMr & MrsMissMsDrRevSrOtherSuffix SrJrIIIIVOther
Last Name: First Name Middle Name
Maiden Name if Applicable Birth Date
Gender MaleFemale Religion CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly Of GodMethodistUnitarianOther Marital Status SingleMarriedWidowedSeparatedDivorceHealth Issue HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism
 City State
1st Eucharist YesNoChurch of 1st Eucharist
 City State
Confirmation YesNoChurch of Confirmation
 City State
Occupation Place of Employment
Phone (optional)   

 

Marital Status

 
Church Married: Married by a Catholic Priest or DeaconHaving received dispensation and married by Catholic Priest, Deacon or MinisterCatholic married by a minister but without dispensationNone
Name of Church/Place
City State

Name of Person & Title Performing Ceremony

 

Date
Civil Marriage: Married by a Civil Official: Judge, Notary etc)None
Name of Place:
City State

Name of Person & Title Performing Ceremony

 

Date
Other Status: UnmarriedSingleDivorceSeparatedWidowedMarried

 

Child in Household

Last Name: First Name: Middle Name: Suffix: SrJrIIIIVOther
Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly Of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:
Confirmation YesNoChurch of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

 

Child in Household

Last Name: First Name: Middle Name:

Suffix:

Sr
Jr
III
IV
Other

Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:
Confirmation YesNoChurch of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

 

Child in Household

Last Name: First Name: Middle Name: Suffix: SrJrIIIIVOther
Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:
Confirmation YesNoChurch of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

 

Child in Household

Last Name: First Name: Middle Name: Suffix: SrJrIIIIVOther
Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly Of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:
Confirmation YesNoChurch of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

 

Child in Household

Last Name: First Name: Middle Name: Suffix: SrJrIIIIVOther
Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly Of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inOther
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:

Confirmation

Yes
No

Church of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

 

Child in Household

Last Name: First Name: Middle Name: Suffix: SrJrIIIIVOther
Birth Date: Gender: MaleFemaleReligion: CatholicProtestantBaptistUCCEpiscopalLutheranNazareneAssembly Of GodMethodistUnitarianOtherHealth Issue: HandicappedBlindDeafShut inDivorce
Baptized YesNoChurch of Baptism:
 City: State:
1st Eucharist YesNoChurch of 1st Eucharist:
 City: State:
Confirmation YesNoChurch of Confirmation:
 City: State:
School Child Attends: Grade: K123456789101112

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:

Extraordinary MinisterLectorAltar ServerGreeterUsherAdult ChoirYouth ChoirFaith Formation CommissionFinance Administration CommissionPastoral CouncilSocial Justice & Peace CommissionWorship & Spirituality Commission

 

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

Would you like Offertory Evelopes? YesNo

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

 
 
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