Little Flower Catholic Church Parishioner Registration
Please fill out as much as you can.
One form per household.
The fields denoted with an * are required.
New Registration or Update? *
Can we use this info in the parish directory? *
Adult #1 - Middle Name: *
Adult #1 - Date of Birth: *
Adult #1 - Gender: *
Adult #1 - Marital Status:
Adult #1 - Date of Marriage:
Adult #1 - Sacraments Received: *
Adult #1 - Employer / Occupation:
Adult #1 - Do you intend to be active in the parish? *
Adult #1 - Would you like to be included on our email lists for notifications? *
Adult #2 - Date of Birth:
Adult #2 - Gender:
Adult #2 - Marital Status:
Adult #2 - Date of Marriage:
Adult #2 - Sacraments Received:
Adult #2 - Employer/Occupation:
Adult #2 - Do you intend to be active in the parish?
Adult #2 - Would you like to be included on our email lists for notifications?
Child #1 - Last Name (if different from adults):
Child #1 - Gender:
Child #1 - Date of Birth:
Child #1 - Current Grade in School / School Attending:
Child #1 - Sacraments Received:
Child # 2 - Last Name (if different from adults):
Child #2 - Gender:
Child #2 - Date of Birth:
Child #2 - Current Grade in School / School Attending:
Child #2 - Sacraments Received:
Child # 3 - Last Name (if different from adults):
Child #3 - Gender:
Child #3 - Date of Birth:
Child #3 - Current Grade in School / School Attending:
Child #3 - Sacraments Received:
Child # 4 - Last Name (if different from adults):
Child #4 - Gender:
Child #4 - Date of Birth:
Child #4 - Current Grade in School / School Attending:
Child #4 - Sacraments Received:
Any other info you would like us to know? Others you were not able to list on this form?