Our Lady of the Mountains Parish Registration Form
Welcome to Our Lady of the Mountains Catholic Church!
 
 Please fill out the following form to become a newly registered member of our parish or
 to update your existing registration information.
*********** This web page works better with JavaScript enabled. ***********
To see how to enable JavaScript, please visit http://www.enable-javascript.com/
Click Submit Form to send this information to Our Lady of the Mountains Catholic Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  
Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity *Birth Date
*Gender Female   Male Grade/Degree
  Language *Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1 Unlisted
  Email 2 Unlisted
Sacraments
  Baptism Date Place
  Confirmation Date Place
  Reconciliation Date Place
  Eucharist Date Place
  Matrimony Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
  Ministry 5 Interested in Joining
  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
  Email 2 Unlisted
Sacraments
  Baptism Received Date Place
  Confirmation Received Date Place
  Reconciliation Received Date Place
  Eucharist Received Date Place
  Matrimony Received Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
  Ministry 5 Interested in Joining
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Mailing Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Alternate Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Family Remarks
  Remarks
  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
   Baptism Date Place
   Confirmation Date Place
   Reconciliation Date Place
   Eucharist Date Place
   Matrimony Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
  Ministry 5 Interested in Joining
Click Submit Form to send this information to Our Lady of the Mountains Catholic Church.
Our Lady of the Mountains Catholic Church