Little Flower
Catholic Church
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New to little flower?
welcome home
Register
Register for our parish.
Head(s) of Household
Last Name
Family Last Name
First Name
Your First Name(s)
Address
Street Address (including P.O/APT. #)
City:
City
Zipcode:
Zipcode
Email:
something@something.com
Phone Number:
Primary Contact Number
Would you like to receive contribution envelopes?
Yes
No
Marriage Information
Are you married?
Yes
No
When were you married?:
mm/dd/yyyy
[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Were you married by a priest or deacon?
Yes
No
[{"field":"marriage","logic":"contains","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Where were you married?
Church Name + City
[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Head of Household Information
First Name
First Name for the Head of Household
Are you Catholic?
Yes
No
Sacramental Information
Check all that apply.
I have been baptized
I have received the Sacrament of Reconciliation
I have received my first holy communion
I have been confirmed
[{"field":"hoh_are_you_catholic","logic":"contains","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Sacramental Information
Check all that apply.
I have been baptized
[{"field":"hoh_are_you_catholic","logic":"contains","value":"No","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Head of Household Birthday
mm/dd/yyyy
Are you interested in receiving more information on our RCIA program?
RCIA stands for the "Rite of Christian Initiation for Adults" and is for those interested in becoming Catholic, those who need one or more sacraments, or those looking for a refresher on their Catholic faith.
Yes, I am interested in receiving more information.
No, I am not interested in receiving more information.
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Spouse Information
[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
First Name
First Name for the Spouse
Are you Catholic?
Yes
No
Sacramental Information
Check all that apply.
I have been baptized
I have received the Sacrament of Reconciliation
I have received my first holy communion
I have been confirmed
[{"field":"spouse_are_you_catholic","logic":"contains","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Sacramental Information
Check all that apply.
I have been baptized
[{"field":"spouse_are_you_catholic","logic":"contains","value":"No","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Spouse Birthday
mm/dd/yyyy
Are you interested in receiving more information on our RCIA program?
RCIA stands for the "Rite of Christian Initiation for Adults" and is for those interested in becoming Catholic, those who need one or more sacraments, or those looking for a refresher on their Catholic faith.
Yes, I am interested in receiving more information.
No, I am not interested in receiving more information.
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[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Information on Children
[{"field":"marriage","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Do you have children 18 & under?
Yes
No
First Name
Child's First Name
Last Name:
Child's Last Name:
Is your child Catholic?
Yes
No
Gender
Child's Gender
Male
Female
Birthday
Child's Birthday
Sacramental Information
Check all that apply.
My child has been baptized
My child has received the Sacrament of Reconciliation
My child has received first holy communion
My child has been confirmed
[{"field":"child_catholic","logic":"contains","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
Sacramental Information
Check all that apply.
I have been baptized
[{"field":"child_catholic","logic":"contains","value":"No","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
[{"field":"children_18","logic":"equal","value":"Yes","and_method":"","field_and":"family_name","logic_and":"","value_and":""}]
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