Our Lady of Lourdes
St. Joseph's Parish
Pittsfield & Northwood, NH

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Parish Registration

- About Us

Parish Registration Form
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- Date Registering REQUIRED Please fill out this field. Please enter a date.
- Family Registering
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Address
- 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.
- Reason for completing the form: Update Parish information. New to area Baptism Registration CCD/Youth Registration Engaged
- Language spoken at home if other than English:
- Second Address
  
  (If you have a winter or summer residence away from the parish.)
- Secondary Address
- Weekly contributions are the financial backbone of the Church that provide an estimated annual income for the fiscal year. As with your household, we need to be able to prepare a yearly budget for the Parish. This can only be accomplished through a regular giving system.
- Would you be able to commit to a weekly or monthly contribution? Yes No
- Would you like to contribute electronically or with envelopes? I would like to contribute electronically. I would like to receive envelopes.
- Family Members Information (Please click on the arrows and select the number of individuals in the household registering.) REQUIRED Please fill out this field.
  
  Individual 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
  
  Individual 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Individual's Occupation, School Attending, Homebound (?)
  
  Religion (if other than Roman Catholic)
  
  Sacraments (Please check the sacraments this individual has received.) Baptism Reconciliation Holy Communion Confirmation Marriage
  
  Talents/Ministries (Please select the areas were you have experience and would be willing to help the parish.) Alter server Lector Usher Carpentry Computer Crafts Educator Electrician Finance/Budget Fundraising Hospitality Painting Play instrument Sewing Singing Other
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