Our Staff

Reg Form

Family Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Family Email

How long have you attended Our Lady of the Lake?

Head of Household #1

If only one head of household, only fill out one name.

Gender

Male

Female

Title

First Name

Middle Name

Last Name

Maiden Name

Cell Phone

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

Marital Status

If Married, date of Marriage

Occupation

Head of Household #2

If only one head of household, only fill out one name.

Gender

Male

Female

Title

First Name

Middle Name

Last Name

Maiden Name

Cell Phone

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

Occupation

Child #1

Only include children living at home.

Gender

Male

Female

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

School / Grade

Child #2

Only include children living at home.

Gender

Male

Female

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

School / Grade

Child #3

Only include children living at home.

Gender

Male

Female

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

School / Grade

Child #4

Only include children living at home.

Gender

Male

Female

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

School / Grade

Child #5

Only include children living at home.

Gender

Male

Female

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

School / Grade

Gender

Male

Female

Adult #1

Only include adults living at home

Title

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

Relationship

Adult #2

Only include adults living at home

Gender

Male

Female

Title

First Name

Middle Name

Last Name

Date of Birth

Religion

Have you been baptized?

Yes

Have you had your First Communion?

Yes

Have you been Confirmed?

Yes

Relationship

Our Lady of The Lake Parish

Fr. Peter G. Wehrle

Rev. Jerome Arthasseril

Paul Pak

Ralph Powell

Dawn Hickey

Jeanette Mackesy

Anthony Benenati

Barbara Yeates

Vincent Carr

Linda Rachel

William Oser

Thomas Conroy

Pat Hynes

Head of Household #1

Head of Household #2

Child #1

Child #2

Child #3

Child #4

Child #5

Adult #1

Adult #2