Our Lady of Perpetual Help Redemptorist Parish Registration
Head of Household
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Head of Household
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
Number in household (including self)
*
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Household Member 2
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 2
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Household Member 3
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 3
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Household Member 4
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 4
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
Back
Next
Household Member 5
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 5
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Household Member 6
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 6
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Household Member 7
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 7
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Household Member 8
Name
*
First Name
Middle Name
Last Name
Relationship to Head of Household
*
e.g. Spouse, Child, Step-Child, Parent, Sibling, etc.
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Engaged
Marriage Details
*
Married in the Catholic Church
Married in another church
Civil marriage only
Sacraments already received by Household Member 8
*
Baptism
Reconciliation
First Eucharist
Confirmation
None
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Next
Ministry/Service Interests
Below is a list of our various ministries and service areas here at Redemptorist. We encourage all parishioners to join in sharing their time and talents with the parish. Please indicate if you are interested in serving in any of the areas below so we can connect you with the appropriate ministries.
Activities
Altar Linens Committee
Church Cleaning Committee
Coffee and Doughnuts
Church Decorating Committee
Parish Social Events (Festival, etc.)
CCD
Teacher
Assistant
RCIA
Volunteer
Bible Study
Teacher
Member
Pro-Life Ministry
Volunteer
Redemptorist Young Adults
Member
Music Ministry
Cantor
Choir
Organist
Pianist
Other Instrument
Liturgy
Usher
Altar Server
Lector
Eucharistic Minister
Special Eucharistic Minister - homebound
Special Eucharistic Minister - hospital
Finance Council
Member
Parish Council
Member
Other Service Area
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Notes
Please note any other details you'd like us to know, such as previous parish memberships, interest in attending CCD or Our Lady of Hope Catholic School, etc.
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