Family Information

Father's Full Name:

Mother's First and Maiden Name:

Address:

City:    State:    Zip code:

Cell Phone:   Home Phone:

Your Email: Envelope #:

Family New to OLG: YesNo


Child #1

Last Name: First Name: Middle:

M/F: School: Grade as of 9/1/2016:

Date of birth: City/State of Birth

BAPTISM INFORMATION - Date: Church:

Church Address (Include City and State):

NOTE: If you did not provide us with a copy of your child’s baptismal certificate for the previous school year, please be sure to send a copy to the church. If your child was baptized at OLG, it is still helpful to have a copy but we can look up the baptismal information if you provide a date.

Sacraments: Check all those completed:

Parent’s last name if different:


Child #2

Last Name: First Name: Middle:

M/F: School: Grade as of 9/1/2016:

Date of birth: City/State of Birth

BAPTISM INFORMATION - Date: Church:

Church Address (Include City and State):

NOTE: If you did not provide us with a copy of your child’s baptismal certificate for the previous school year, please be sure to send a copy to the church. If your child was baptized at OLG, it is still helpful to have a copy but we can look up the baptismal information if you provide a date.

Sacraments: Check all those completed:

Parent’s last name if different:


Child #3

Last Name: First Name: Middle:

M/F: School: Grade as of 9/1/2016:

Date of birth: City/State of Birth

BAPTISM INFORMATION - Date: Church:

Church Address (Include City and State):

NOTE: If you did not provide us with a copy of your child’s baptismal certificate for the previous school year, please be sure to send a copy to the church. If your child was baptized at OLG, it is still helpful to have a copy but we can look up the baptismal information if you provide a date.

Sacraments: Check all those completed:

Parent’s last name if different:

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