Nombre del Our Lady of the Plains de de registro parroquial

Name*

Last Name*

Gender*

Male
Female

Language*

Ethnicity

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Date of Birth*

Religion*

Marriage Status

Sacraments Received

Baptism
Communion
Confirmation

Spouse's Name

Name*

Last Name*

Gender*

Male
Female

Language*

Ethnicity

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone

Date of Birth*

Religion*

Marriage Status

Sacraments Received

Baptism
Communion
Confirmation

Children

How many kids do you have?

Child 1

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Child 2

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Child 3

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Child 4

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Child 5

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Child 6

Full Name*

Ethnicity

Language*

English
Spanish
Other

Date of Birth*

Gender*

Male
Female

Sacraments Received

Baptism
Communion
Confirmation

Additional Information

Please choose your preferred method of parish support*

Offertory Envelopes
On-line Giving
Loose Check

Is there anyone who is homebound?*

Yes
No

What attracted you to Our Lady of the Plains?

Are there any activities you enjoyed in a previous parish?

Do you permit photos of you or your family members to be used in the bulletin, website or other church related materials?*

Yes
No

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