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  • Parish Registration
    Our Lady of the Pines Church - Nevis 
    St. Theodore's Church - Laporte  
    
    (Note - if you prefer, you may print and fill out a hard-copy registration form as well as a time and talent form. You may access these forms here.)
  • Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Parish of Interest REQUIRED Our Lady of the Pines Church - Nevis St Theodore's Church - Laporte Please fill out this field.
  • Date of Registration / Update REQUIRED Please fill out this field. Please enter a date.
  • Enter 1 or 2 in the box below to indication the number of adults registering 
  • • Adults REQUIRED Please fill out this field.
    • Adult 1
      • Gender REQUIRED Male Female Please fill out this field.
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Middle Name Please enter valid data.
      • Street Address REQUIRED Please fill out this field. Please enter valid data.
      • City REQUIRED Please fill out this field. Please enter valid data.

        State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

        Zip REQUIRED Please fill out this field. Please enter a zip code.
      • Home Phone Maximum 20 characters Please enter a phone number.
      • Cell or Work Phone Maximum 20 characters Please enter a phone number.
      • Email Please enter an email address.
      • Alternative Street Address Please enter valid data.
      • City Please enter valid data.

        State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

        Zip Please enter a zip code.
      • From Date Please enter a date.
      • To Date Please enter a date.
      • Alternate Phone Maximum 20 characters Please enter a phone number.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Place of Baptism Please enter valid data.
      • Church of First Communion Please enter valid data.
      • Church of Confirmation Please enter valid data.
      • Marital Status REQUIRED Single Married Widowed Divorced Annulled by Church Please fill out this field.
      • Date of Marriage Please enter a date.
      • Church of Marriage Please enter valid data.
      • Parish Ministry Interests
    • Adult 2
      • Gender REQUIRED Male Female Please fill out this field.
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Middle Name Please enter valid data.
      • Street Address REQUIRED Please fill out this field. Please enter valid data.
      • City REQUIRED Please fill out this field. Please enter valid data.

        State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

        Zip REQUIRED Please fill out this field. Please enter a zip code.
      • Home Phone Maximum 20 characters Please enter a phone number.
      • Cell or Work Phone Maximum 20 characters Please enter a phone number.
      • Email Please enter an email address.
      • Alternative Street Address Please enter valid data.
      • City Please enter valid data.

        State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

        Zip Please enter a zip code.
      • From Date Please enter a date.
      • To Date Please enter a date.
      • Alternate Phone Maximum 20 characters Please enter a phone number.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Place of Baptism Please enter valid data.
      • Church of First Communion Please enter valid data.
      • Church of Confirmation Please enter valid data.
      • Marital Status REQUIRED Single Married Widowed Divorced Annulled by Church Please fill out this field.
      • Date of Marriage Please enter a date.
      • Church of Marriage Please enter valid data.
      • Parish Ministry Interests
  • Children Living at Home

    Please enter the number of children that you are registering in the box below. All children out of High School / College students should register as an adult on their own.
  • • Children REQUIRED Please fill out this field.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 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.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 11
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
    • Child 12
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Church and Place of Baptism Please enter valid data.
      • Church and Place of Confirmation Please enter valid data.
      • School Please enter valid data.
      • Grade Please enter valid data.
  • Share Your Time and Talent

    You and your family are invited to be an active member of our Parish Community through your stewardship of service. Please fill in the name of the members of your family in the alphabetized spaces provided.
    - Fr. Tony Fernando

    Family Information
  • A. Your Name Please enter valid data.
  • B. Spouse Name Please enter valid data.
  • C. Child Please enter valid data.
  • Age Please enter valid data.
  • D. Child Please enter valid data.
  • Age Please enter valid data.
  • E. Child Please enter valid data.
  • Age Please enter valid data.
  • F. Child Please enter valid data.
  • Age Please enter valid data.
  • Click here for a list of the volunteer opportunities available at Our Lady of the Pines.  Click here for a list of the volunteer opportunities available at St. Theodore's. Then enter the total number of activities in which you and your family members wish to participate in the box below. Then, for each activity in which members of your family wish to participate, enter the activity # and check the boxes indicating the family members involved as well as other information requested.
  • • Volunteer Activities REQUIRED Please fill out this field.
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
    • • Activity # Please enter valid data.
      • Family Members A B C D E F
      • Days available - if applicable (Our Lady of Pines only) Sat Sun
      • Seasons Available (if applicable) Summer Winter
      • Ministery Presently New
  • Other activities in which I would like to assist
  • I am unable to be involved at this time, but I will pray for those who are sharing their time and talent. Yes

  Submit

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