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Parish Registration

- Welcome to Our Lady of the Mount Parish!
  
  The parish staff and I are so pleased you are here.
  
  Our Lady of the Mount is blessed to be the home of a wonderful parish family. As Pastor, I pray you will come to experience the deep love of God through our worship together and our witness to the Gospel.
  
  We hope to meet your spiritual needs and help you to become an active member of our parish family. Please take a few minutes to browse our website for information on our parish activities, ministries, and all that we offer.
  
  To become a registered parishioner/family of Our Lady of the Mount Parish, please complete our online registration form below.
  
  If you choose to participate in Online Giving, please click the Online Giving button on the homepage after completing the Parish Registration form.
  
  I thank you for becoming a member of Our Lady of the Mount Parish. Please know you and your family will be in my prayers.
  
  If you have a particular need we can help you address, please call or email any member of our parish staff.
  
  We look forward to meeting you soon and having you as a part of our parish family.
  
  Peace and all good,
  
  Rev. Sean W. Kenney, OFS
  Pastor
- Household Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Today's Date REQUIRED Please fill out this field. Please enter valid data.
  
  Are currently registered at another Parish? REQUIRED Yes No Please fill out this field.
  
  If "Yes" Please provide the name of the Parish: REQUIRED Please fill out this field. Please enter valid data.
  
  Title for Mailings REQUIRED Mr. & Mrs. Mr. Mrs. Ms. Miss Dr. Please fill out this field.
  
  Your First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Male Female Please fill out this field.
  
  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.
  
  Your Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Your Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Your Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Your Religion: REQUIRED Please fill out this field.
  
  How do you wish to contribute to the parish? REQUIRED Weekly Envelopes Online Giving Please fill out this field.
  
  YOUR SACRAMENTS:
  
  BAPTISM
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  FIRST COMMUNION
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  CONFIRMATION
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If Married, is your marriage blessed by the Catholic Church? REQUIRED Yes No Please fill out this field.
  
  If "YES" provide the date and name of the Church: REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse's Gender REQUIRED Female Male Please fill out this field.
  
  Spouse's Religion: REQUIRED Please fill out this field.
  
  SPOUSE'S SACRAMENTS:
  
  BAPTISM
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  FIRST COMMUNION
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  CONFIRMATION
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Number of children under the age of 18: REQUIRED Please fill out this field.
  
  Child 1
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 2
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 3
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 4
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 5
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 6
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 7
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 8
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 9
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Child 10
  
  Gender: REQUIRED Please fill out this field.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  YOUR CHILD'S SACRAMENTS:
  (Please write N/A if Your Child hasn't received some of the sacraments yet)
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of the Church, Town and State/Country REQUIRED Please fill out this field. Please enter valid data.
  
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Parish Registration

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