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

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

Thomas Conroy

Head of Household #1

Head of Household #2

Child #1

Child #2

Child #3

Child #4

Child #5

Adult #1

Adult #2