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Parish Registration Form

Parish Registration Form

Want to get involved? After submitting your registration form, please complete the OLC Connections form for ministries. Click here to get started!

CAPTCHA

Required Information

All questions in this section are required. Your submission will not send if you do not answer all questions.

Head of Household

Please answer the following questions in regards to the head of household only.

Head of Household Name(Required)

First Middle Last Maiden (If Applicable

Head of Household Email(Required)

Primary Phone(Required)

Secondary Phone

I agree to receive communications from OLC(Required)

I agree

Not at this time

Communications include upcoming events, Mass time changes, special updates, and more relevant information regarding the Church, Catholicism, and the OLC community.

Select all that apply(Required)

New Parishioner

Faith Formation Family

OLC School Family

Preferred method of communication:

Address

Street Address Address Line 2 City State ZIP Code

Sacraments Received (HOH)(Required)

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Head of Household Date of Birth(Required)

Occupation

Employer

Former Parish (if in GR Diocese)

Do you have a spouse/significant other?(Required)

Yes

No

Do you have children?(Required)

Yes

No

Please list any special needs you, or your family, may have

Spouse

Please answer the following questions in regards to the spouse only.

Spouse Name(Required)

First Middle Last Maiden (If Applicable)

Preferred method of communication:

Spouse Date of Birth(Required)

Same address as Head of Household(Required)

Yes

No

Address

Street Address Address Line 2 City State ZIP Code

Occupation

Employer

Cell Phone Number

Home Phone Number

Work Phone Number

I agree to receive communications from OLC(Required)

I agree

Not at this time

Communications include upcoming events, Mass time changes, special updates, and more relevant information regarding the Church, Catholicism, and the OLC community.

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Marital Status

Single

Married Civilly

Married in Catholic Church

Divorced

Widowed

Date of Marriage(Required)

Month

Day

Year

Children and Dependents

Please include any children, dependents or other adults living at this address.

Number of Children and/or Dependents to add

If you need/want to add more please use the additional information box below

Please enter a number from 0 to 5.

Child #1 Information

Name

First Middle Last

Gender

M

F

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Grade

Date of Birth

Month

Day

Year

Child #2 Information

Name

First Middle Last

Gender

M

F

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Grade

Date of Birth

Month

Day

Year

Child #3 Information

Name

First Middle Last

Gender

M

F

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Grade

Date of Birth

Month

Day

Year

Child #4 Information

Name

First Middle Last

Gender

M

F

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Grade

Date of Birth

Month

Day

Year

Child #5 Information

Name

First Middle Last

Gender

M

F

Sacraments Received

Check the box if you have received the sacrament

Baptism

Holy Eucharist

Confirmation

Grade

Date of Birth

Month

Day

Year

Please add any additional information that you'd like to provide

Email

This field is for validation purposes and should be left unchanged.

CONTACT US

4865 11 Mile Rd NE

Rockford, MI 49341

(616) 866-0931