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

PHOTOGRAPHY and VIDEOTAPING RELEASE - I give Our Lady of Grace Catholic Church permission to use pictures and videos (only taken during our Religious Education time) of our family and children for bulletins, directories, the Church website and slide shows: YesNo


Child #1

Last Name: First Name: Middle:

M/F: School: Grade as of 9/1/2017:

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 9/1/2017:

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 9/1/2017:

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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