Parishioner Registration form

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In order for your HG Church registration to be complete, please forward copies of Sacramental certificates for all family members to [email protected].
If you do not have these available, please contact your Church of Baptism and request a Baptismal Certificate with Notations, for each family member. The Church can email ([email protected]) or mail (601 N Oak St., Hammond, LA 70401) directly to Larisa Simmons.
I Agree Please select this field.
Family Information
- Address REQUIRED Please fill out this field. Please enter valid data.
- Address Line 2 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.
- Would you like to receive tithing envelopes? REQUIRED Yes No Please fill out this field.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Send email when possible? Yes No
Mailing Address (If different than street address)
- Address Please enter valid data.
- Address Line 2 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.
Head of Household
- Title Please enter valid data.
- First 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.
- Maiden Name (if applicable) Please enter valid data.
- Suffix Please enter valid data.
- Nickname Please enter valid data.
- Marital Status
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- Religion Please enter valid data.
- Baptismal Date Please enter a date.
- Church of Baptism Please enter valid data.
- 1st Communion Date Please enter a date.
- Confirmation Date Please enter a date.
Spouse Information
- Title Please enter valid data.
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Maiden Name (if applicable) Please enter valid data.
- Suffix Please enter valid data.
- Nickname Please enter valid data.
- Marital Status
- Birth Date Please enter a date.
- Place of Birth (City,State) Please enter valid data.
- Gender Male Female
- Religion Please enter valid data.
- Baptismal Date Please enter a date.
- Church of Baptism Please enter valid data.
- 1st Communion Date Please enter a date.
- Confirmation Date Please enter a date.
- Children REQUIRED Please fill out this field.
- Child 1
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 2
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 3
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 4
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 5
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 6
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 7
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 8
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 9
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.
- Child 10
  - First 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.
  - Nickname Please enter valid data.
  - Relationship to Head of Household (Son, Daughter, etc.) REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Place of Birth (City,State) REQUIRED Please fill out this field. Please enter valid data.
  - Gender Male Female
  - Religion Please enter valid data.
  - Baptismal Date Please enter a date.
  - Church of Baptism Please enter valid data.
  - 1st Communion Date Please enter a date.
  - Confirmation Date Please enter a date.
  - School or Work Place Please enter valid data.
  - If student, Grade Please enter valid data.

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Holy Ghost Catholic Church

Hammond, LA

Parishioner Registration form

Register to Join our Parish