Saint Patrick, Lucan and Holy Family, London

Respond only to those questions with which you feel comfortable answering. Either complete the registration form below, or download and print the form.

This information will be used to process registration and donations and to send out information on programs, ministries, and requests for financial support.

Primary Member Information

Date Registered (date the form is completed)

Which Parish do you attend?(required)

Saint Patrick, Lucan

Holy Family, London

Name

Home Address

City & Province

Postal Code

Main Telephone #

Emergency Telephone #

Date of Birth (Year/Month/Day)

Religion

Sunday Offertory

Offertory Envelope

Pre- Authorized Giving

Not at this time

Holy Family Parish accepts donations via Pllenty at dol-holyfamily-mobile.pllenty.com

Occupation

I would like to volunteer at the parish.

Yes

I would like to be added to the mailing list to receive the Family Connection (e-Bulletin) and updates.

Yes

Other Adult Information

Name

Relationship to Primary Member

Main Telephone #

Emergency Telephone #

Date of Birth (Year/Month/Day)

Religion

Occupation

I would like to volunteer in the parish.

Yes

I would like to receive e-Bulletins and updates.

Yes

Other Members (living at home)

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism

First Communion

First Reconciliation

Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism

First Communion

First Reconciliation

Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism

First Communion

First Reconciliation

Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism

First Communion

First Reconciliation

Confirmation

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