Registration

Welcome and thank you for taking the time to let us know about you and your family. The information collected on this form is kept confidential. If you have any questions, please contact Maria at 908-232-1162.
Household Information
Your Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Family Member Information

Please provide the information for each family member. For "Last sacrament" note the last sacrament the member received i.e., baptims, 1st communion, or confirmation.

	First Name	Last Name (if different)	Birth Date	Last Sacrament	Status (child, parent, other)
1
2
3
4
5
6
7

Do you or a family member have any special needs or concerns?
Would you like to contacted by a priest, welcoming member, the faith formation office, or anyone else?
Which of the following methods do you prefer to make donations *

Please click on the submit button below to complete your registration.

Giving on line is secure and econmical for both you and the parish. You can choose to:

Give through the Faith Direct platform. You will need to use the code NJ125 to direct your donations to the parish. Sign up at https://www.faithdirect.net/

Or, you can simply use your own bank's online payment options to send one time or reoccuring donations to us at: Our Lady of Lourdes Parish, 300 Central Avenue, Mountainside, NJ 07092. You can use your last name or phone number if it asks for an account number.

If you have any questions, please contact lcandela@ollmountainside.org.
Thank you! Please click on the "Submit" button below to complete your registration.
Should be Empty:

Household Information

Family Member Information