Parish Registration Form

Registration information is private and is only viewed by authorized staff.

  • Only list the members currently living in your household.
  • List all members in your household even if they are not Catholic.
  • Do not add multiple members under one section; list each member's information separately.
  • Adult children (25+) should register separately (unless they are students or have special needs).
  • If there are multiple families in your household, register each family on a separate form.
  • If you are currently registered at another parish, please contact them to un-register.
  • There is space for up to 10 members in each family.
  • There is a section at the end for additional information.

This form is best filled out on a PC, NOT on a mobile device. 

Required

Head of Household Title (Mr, Mrs, Miss, Dr, etc)required
Head of Household Legal First Name(s)required
Birth Middle Names(s)required
(If no middle name, type NMN)​​​
Legal Last Name(s)required
(Include hyphens and accents if appropriate.)
Maiden Name
(If applicable)​​​​​
Is maiden name as legal middle name now?
Nickname
(If applicable)​​​​
Household Street Addressrequired
Cityrequired
Staterequired
Ziprequired
Is mailing address different than street address?required
Mailing Address, City ST, Ziprequired
Do you have a vacation/alternative address?required
Alt. Address, City, ST, Zip required
What months are you at this address and would you like to receive envelopes at this address?required
Email Addressrequired
Date of Birthrequired
Must contain a date in M/D/YYYY format
Religionrequired
Marital Statusrequired
Date of Weddingrequired
Must contain a date in M/D/YYYY format
Married byrequired
Place of Wedding (Church) & City, State or Countryrequired
Baptizedrequired
Did you receive 1st Eucharist through the Catholic Church?required
Did you receive Confirmation through the Catholic Church?required
Home Phone
Cell Phone
Occupation & Employerrequired
Are there additional family members? required
The default mailing salutation is: Mr. & Mrs. First Name Last Name (Head of Household). If you would like it to read differently, please note that here.
Spouse or Member 2 Title (Mr, Mrs, Miss, Dr, etc)required
Spouse or Member 2 Legal First Name(s)required
Birth Middle Names(s)required
(If no middle name type NMN)​​​​​
Legal Last Name(s)required
(Include hyphens and accents if appropriate.)
Nickname
(If applicable)​​​
Maiden Name
(If applicable)​
Is maiden name used as legal middle name now?
Date of Birthrequired
Must contain a date in M/D/YYYY format
Religionrequired
Baptizedrequired
Did this member receive 1st Eucharist through Catholic or Orthodox Church?required
Did this member receive Confirmation through Catholic or Orthodox Church?required
Email Address
Leave blank if no email​
Cell Phone
Is this member a student?required
Name of Schoolrequired
Occupation & Employerrequired
Are there additional family members? required
Member 3 Title (Mr, Mrs, Miss, Dr, etc)required
Legal First Name(s)required
Birth Middle Names(s)required
(if no middle name type NMN)​​
Legal Last Name(s)required
(Include hyphens and accents if appropriate.)
Nickname
(if applicable)​​
Date of Birthrequired
Must contain a date in M/D/YYYY format
Religionrequired
Baptizedrequired
Did this member receive 1st Eucharist through Catholic or Orthodox Church?required
Did this member receive Confirmation through Catholic or Orthodox Church?required
Are there additional family members? required
Member 4 Title (Mr, Mrs, Miss, Dr, etc)required
Legal First Name(s)required
Birth Middle Names(s)required
(if no middle name type NMN)​​​
Legal Last Name(s)required
(Include hyphens and accents if appropriate.)
Nickname
(if applicable)​​​
Date of Birthrequired
Must contain a date in M/D/YYYY format
Religionrequired
Baptizedrequired
Did this member receive 1st Eucharist through Catholic or Orthodox Church?required
Did this member receive Confirmation through Catholic or Orthodox Church?required
Are there additional family members? required
Member 5 Title (Mr, Mrs, Miss, Dr, etc)required
Legal First Name(s)required
Birth Middle Names(s)required
(if no middle name type NMN)​
Legal Last Name(s)required
(Include hyphens and accents if appropriate.)
Nickname
(if applicable)​
Date of Birthrequired
Must contain a date in M/D/YYYY format
Religionrequired
Baptizedrequired
Did this member receive 1st Eucharist through Catholic or Orthodox Church?required
Did this member receive Confirmation through Catholic or Orthodox Church?required
Are there additional family members? required
Please enter full legal names, DOB and Sacraments for any additional family members.required
Emergency Contact Name (NOT living in Household)
Emergency Contact Phone Number
Additional Languages Spoken, Special Needs, Concerns or Additional Information

If anyone in your household is homebound, please visit www.olgcva.org/liturgy-worship/ministy-of-care.

I/We would like to be contacted about how to volunteer or join one of the following ministry/ministries:
Otherrequired