Welcome to Little Flower Catholic Church on-line parish registration form. This page will help you to register as a member of the parish. Simply go to the bottom of this page and answer the questions, once you are done, simply select the “Submit” button.

If you are married or single you can use this form to register as a member of Little Flower Parish.

If you are sharing a home and are not married, each adult should register separately on a different form. If there are minor children living in the home, the adult who is the biological parent or the legal guardian of that child should list them on the form they are filling out.

This form can also be used by current parishioners to update their data profile, such as new phone numbers, e-mails and the like. Please note that this site is only to register as a parishioner. Currently, there is no on-line registration for school.

Once you have registered, please stop by the parish office during normal business hours, or after one of the weekend Masses to introduce yourself to Fr. Larry Herzog and to pick up your welcome package.

Once again, thank you for registering and becoming a part of Little Flower Parish.

Note:

All fields with a * are required.

You will have to press the “Submit” button at the bottom of this page.


E-mail Address: *

Register or Update? *

Can we use this information in the next parish directory?* YesNo


Adult #1:


First Name: *

Middle Name:

Last Name: *

Maiden Name (if applicable):

Address: *

Address 2:

City: *

State: *

Zip: *

Home Phone Number:

Marital Status:

Date of Marriage:

Date of Birth: *

Gender: * MaleFemale

Religion: *

Were you baptized? * YesNo

Did you make your First Holy Communion? * YesNo

Were you confirmed? * YesNo

Cell Phone Number:

Employer:

Occupation:

Do you intend to be active in the parish? * YesNo

Would you like to be included on our email lists for notifications, etc...? * YesNo

What e-mail address should we use to contact you? *


Adult #2:


First Name: *

Middle Name:

Last Name: *

Maiden Name (if applicable):

Address: *

Address 2:

City: *

State: *

Zip: *

Home Phone Number:

Marital Status:

Date of Marriage:

Date of Birth: *

Gender: * MaleFemale

Religion: *

Were you baptized? * YesNo

Did you make your First Holy Communion? * YesNo

Were you confirmed? * YesNo

Cell Phone Number:

Employer:

Occupation:

Do you intend to be active in the parish? * YesNo

Would you like to be included on our email lists for notifications, etc...? * YesNo

What e-mail address should we use to contact you? *


Child #1


First Name:

Middle Name:

Last Name: (if different from adults)

Gender: MaleFemale

Date of Birth:

Current Grade in School:

Was this child baptized? YesNo

Has this child made his/her First Holy Communion? YesNo

Was this child Confirmed? YesNo


Child #2


First Name:

Middle Name:

Last Name: (if different from adults)

Gender: MaleFemale

Date of Birth:

Current Grade in School:

Was this child baptized? YesNo

Has this child made his/her First Holy Communion? YesNo

Was this child Confirmed? YesNo


Child #3


First Name:

Middle Name:

Last Name: (if different from adults)

Gender: MaleFemale

Date of Birth:

Current Grade in School:

Was this child baptized? YesNo

Has this child made his/her First Holy Communion? YesNo

Was this child Confirmed? YesNo


Child #4


First Name:

Middle Name:

Last Name: (if different from adults)

Gender: MaleFemale

Date of Birth:

Current Grade in School:

Was this child baptized? YesNo

Has this child made his/her First Holy Communion? YesNo

Was this child Confirmed? YesNo