Our Lady of Sorrows Parish
Parishioner Registration Form
Date
-
Month
-
Day
Year
Type of Registration
New to Parish
Previously Registered under Parents
Previously Registered at another Parish
If Registered at another Parish, please indicate Parish Name and Location
Head of Household Name
First Name
Last Name
Male
Female
Birthdate
Phone Number
Please enter a valid phone number.
Email
example@example.com
Spouse Name
First Name
Last Name
Male
Female
Birthdate
Phone Number
Please enter a valid phone number.
Email
example@example.com
List Children's Full Names and Date of Birth (Also any Others in the Household if applicable)
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Physical Address if different than the Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Submit
Should be Empty:
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