Parish Registration Form

Our Lady of Lourdes Parish Registration Form

Information will be shared with our Parish Office staff. Non-private information will be shared with our Parish Welcoming Committee and other ministry leaders as indicated.
A note to newly married or soon to be married couples: if you have previously been registered members of our parish individually or within your parents' household, we do ask that you complete this form after your marriage for your new household. Congratulations on your new life together!!

General Information
Email*
example@example.com
Last Name*
First Name(s)*
enter your first name - or names if a couple (i.e., John & Jane)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone (If Applicable, Cell Phone Number Listed Below)

Area CodePhone Number
Preferred Primary Language (language spoken at home)

EnglishSpanishOther

Type a question

Our Lady of Lourdes Parish Registration Form