Registration Form

Which Parish would you like to register with?

If necessary, our Coordinator of Parish Ministires will contact you to discuss the boundaries of our parishes.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Marital Status

If married, please provide the following information.

Date of Marriage (YYYY/MM/DD) Please enter valid data.

Church/Location and City Please enter valid data.

Complete Address

Your Address REQUIRED Please fill out this field. Please enter valid data.

City & Postal Code REQUIRED Please fill out this field. Please enter valid data.

Children at Home
(including those away at school)

Donations

Would you like a box of offertory? Yes No

Would you like to be contacted for Direct Debit? Yes No

I hereby grant permission for the infomation listed herin to be used for parish purposes only, at the discretion of the pastor.

I Agree Please select this field.

LaSalle River Canard Catholic Family of Parishes