Join Our Family | Our Lady of Mount Carmel Catholic Church

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Join Our Family

Thank you for your interest in our parish family.

If you would like to become a member, please fill out the registration form below.

Join Our Family at Mount Carmel!

Family Last Name*
First Name*
Birth Date*
MM slash DD slash YYYY
Religion*
Mailing Address*
Street Address City State ZIP Code
Subdivision
Home Phone*
Cell Phone*
Email
Occupation
Employer
Work Phone
Please list any ministries that you're interested in joining:
Marital Status*
How many children do you have?
Church Attendance*
Sacraments Received
- Baptism
- Penance
- First Communion
- Confirmation
- Holy Matrimony
Please check all that apply
Spouse Information
Spouse Name
First Last
Spouse's Maiden Name
Spouse's Date of Birth
MM slash DD slash YYYY
Religion
Phone Number
Email
Occupation
Employer
Work Phone
Please list any ministries that you may be interested in joining:
Sacraments Received
- Baptism
- Penance
- 1st Communion
- Confirmation
- Marriage
*please select all that apply
1st Child Information
1st Child's Name
Date of Birth*
MM slash DD slash YYYY
Sex
Religion
School
Grade
Please list any ministries you may be interested in joining:
Sacraments Received
- Baptist
- Penance
- 1st Communion
- Confirmation
*please check all that apply
2nd Child Information
2nd Child's Name
Date of Birth*
MM slash DD slash YYYY
Sex
Religion
School
Grade
Please list any ministries you may be interested in joining:
Sacraments Received
- Baptist
- Penance
- 1st Communion
- Confirmation
*please check all that apply
3rd Child Information
3rd Child's Name
Date of Birth*
MM slash DD slash YYYY
Sex
Religion
School
Grade
Please list any ministries you may be interested in joining:
Sacraments Received
- Baptist
- Penance
- 1st Communion
- Confirmation
*please check all that apply
4th Child Information
4th Child's Name
Date of Birth*
MM slash DD slash YYYY
Sex
Religion
School
Grade
Please list any ministries you may be interested in joining:
Sacraments Received
- Baptist
- Penance
- 1st Communion
- Confirmation
*please check all that apply
Almost Done!
Please note any additional information you would like us to know:
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OUR LADY OF MOUNT CARMEL CATHOLIC CHURCH

11485 Ferdinand Street
P.O. Box 1249
Saint Francisville, LA 70775

CHAPEL OF OUR LADY OF PERPETUAL HELP

3147 Church Street
Jackson, LA 70748

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