Register to join the Little Flower Family

welcome home

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?

Marriage Information

Are you married?
When were you married?:
mm/dd/yyyy
Were you married by a priest or deacon?
Where were you married?
Church Name + City

Head of Household Information

First Name
First Name for the Head of Household
Are you Catholic?
Sacramental Information
Check all that apply.
Sacramental Information
Check all that apply.
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.

Spouse Information

First Name
First Name for the Spouse
Are you Catholic?
Sacramental Information
Check all that apply.
Sacramental Information
Check all that apply.
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.

Information on Children

Do you have children 18 & under?
First Name
Child's First Name
Last Name:
Child's Last Name:
Is your child Catholic?
Gender
Child's Gender
Birthday
Child's Birthday
Sacramental Information
Check all that apply.
Sacramental Information
Check all that apply.
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