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OLOL Parishioner Registration Form

- Interested in becoming a parishioner at Our Lady of Lourdes?
  
  We would love to have you!
  Please fill out the form with as much detail as possible for each person living in your household. All information provided is confidential.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Family Mobile Number REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Family Email Address REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Preference: Faith Direct (online giving) or contribution envelopes (Select one) REQUIRED Faith Direct Contribution Envelopes Please fill out this field.
  
  Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Communion Confirmation Marriage None Please fill out this field.
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status REQUIRED Never Married Now Married Separated Divorced Widowed Please fill out this field.
  
  If married, is the marriage recognized by the Catholic Church? REQUIRED Yes No N/A Please fill out this field.
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? REQUIRED More than weekly Weekly Monthly Rarely Does not attend Please fill out this field.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Additional Family Members REQUIRED Please fill out this field.
  
  Additional Family Member 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Additional Family Member 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Sex Male Female
  
  How is this person related to the Head of Household? Husband/Wife Son/Daughter Father/Mother Brother/Sister Other Relative Not Related
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation Marriage None
  
  Baptism Church and Date (If known) Please enter valid data.
  
  First Holy Communion Church and Date (If known) Please enter valid data.
  
  Confirmation Church and Date (If known) Please enter valid data.
  
  Marital Status Never Married Now Married Separated Divorced Widowed
  
  If married, is the marriage recognized by the Catholic Church? Yes No N/A
  
  If married, Church and Date (If known) Please enter valid data.
  
  How often does this person attend Mass? More than weekly Weekly Monthly Rarely Does Not Attend
  
  Occupation Please enter valid data.
  
  Submit
  
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