Welcome

Our Lady of Lourdes Parish Registration Form
  1. Family Information
  2. Last Name(*)
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  3. Street Address(*)
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  4. City(*)
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  5. Zip Code(*)
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  6. Mailing Address (if different):
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  7. City
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  8. Zip Code
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  9. Preferred Phone 1.(*)
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  10. Preferred Phone 2.(*)
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  11. Email (male)(*)
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  12. Email (female)(*)
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  13. The Welcoming Committee would like to contact you to share information about the parish. Is this okay?(*)
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  14.  
  1. Male Information
  2. Male/Husband Name:
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  3. My Friends Call Me:
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  4. Title
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  5. Date of Birth
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  6. Languages Spoken (if other than English)
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  7. Religion
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  8. Baptized
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  9. Confirmed
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  10. Occupation / Employer
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  11. Work Phone
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  12.  
  1. Female Information
  2. Female/Wife Name:
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  3. Maiden Name
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  4. My Friends Call Me
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  5. Title
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  6. Date of Birth
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  7. Languages Spoken (if other than English)
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  8. Religion
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  9. Baptized
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  10. Confirmation
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  11. Occupation / Employer
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  12. Work Number
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  13.  
  1. Marital Status
  2. Status(*)
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  3. Date of Marriage
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  4. Were You Married By A Priest
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  5.  
  1. First Child
  2. Sex
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  3. Child's Name
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  4. Baptized
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  5. Date of Birth
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  6. Date of Baptism
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  7. Place of Baptism
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  8. First Communion
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  9. Confirmation
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  10. School Attending
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  11. Grade in School
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  12. Second Child
  13. Sex
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  14. Child's Name
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  15. Date of Birth
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  16. Date of Baptism
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  17. Place of Baptism
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  18. First Communion
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  19. Confirmation
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  20. School Attending
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  21. Grade in School
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  22. Third Child
  23. Sex
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  24. Child's Name
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  25. Date of Birth
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  26. Date of Baptism
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  27. Place of Baptism
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  28. First Communion
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  29. Confirmation
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  30. School Attending
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  31. Grade in School
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  32. Fourth Child
  33. Sex
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  34. Child's Name
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  35. Date of Birth
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  36. Date of Baptism
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  37. Place of Baptism
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  38. First Communion
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  39. Confirmation
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  40. School Attending
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  41. Grade in School
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  42. Fifth Child
  43. Sex
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  44. Child's Name
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  45. Date of Birth
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  46. Date of Baptism
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  47. Place of Baptism
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  48. First Communion
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  49. Confirmation
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  50. School Attending
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  51. Grade in School
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  52. Sixth Child
  53. Sex
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  54. Child's Name
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  55. Date of Birth
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  56. Date of Baptism
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  57. Place of Baptism
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  58. First Communion
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  59. Confirmation
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  60. School Attending
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  61. Grade in School
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  62.  
  1. Parish History
  2. Are You New To This Area?
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  3. Previous Location
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  4. Previous Church Attended
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  5. What Brings You to Pittsburg
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  6. Does Your Immediate Family (those who live in your house) Currently Attend Mass at Our Lady of Lourdes?
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  7. Does anyone in your immediate family participate in any ministries/activities at Our Lady of Lourdes?
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  8. If yes, which ones?
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  9. Are You Registering At A Parish For the First Time?
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  10. Are you or your spouse an alumnus of St. Mary's Colgan Catholic Schools?
  11. Male Year
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  12. Female Year Grad
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  13. I Would Like More Information About the Following
  14. I Would Like More Information About the Following
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  15. Other:
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