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Parish Registration

- About
  - Our Lady of Lourdes
    
    History
    Contact Us
    Story of Lourdes
    Our Lady of Lourdes Photos
  - St. Michael Parish
    
    History
    Contact Us
    St. Michael Photos
  - Parish Registration
  - Bulletins

Welcome to Our Lady of Lourdes and St. Michael Catholic Parishes.
Please complete the registration form below and we will follow up with you to gather additional information to complete your registration. If you have questions or need additional information please contact the Church Office.
Parish Registration Form
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- Mr/Mrs/Miss
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Birthdate (Format 12/10/2001) Please enter valid data.
- Spouse's Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Spouse's Email Please enter an email address.
- Spouse's Birthdate (Format 12/10/2001) Please enter valid data.
- Child One Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate (Format: 12/10/2001) Please enter valid data.
- Gender Please enter valid data.
- Child Two Information
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate (Format 12/10/2001) Please enter valid data.
- Gender Please enter valid data.
- More Children? Please list names and ages below.
- Please select Parish. REQUIRED Our Lady of Lourdes St. Michael Please fill out this field.
- Do you prefer to donate to the church through the Envelope System or Online Giving Website? REQUIRED Please fill out this field.
- Please provide your current Envelope Number. Please enter valid data.
Submit

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