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Family Information
Name – Head of Household
Primary Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
If Married – please provide date, place and name of spouse
I attend the following mass most frequently:
Saturday @ 4:30 p.m.
Sunday @ 7:30 a.m.
Sunday @ 9:30 a.m.
Sunday @ 11:30 a.m.
Prayer Covenant
I agree
By choosing membership in Our Lady of Lourdes Parish, we expect that you are willing to enter into a relationship with Jesus and our community, that is motivated by the desire to both give and receive. We ask you to pledge your faithfulness and support by spending time developing your faith. Please check and sign the following PRAYER commitment.
I/We wish to recommit to Our Lady of Lourdes Parish as my/our faith community. I/we will make time for God by participating in weekly liturgy, receiving the sacraments, daily prayer and continuing faith formation (spiritual reading, scripture study, small groups, etc.)
Finance
In thanksgiving for God’s gifts, each household is expected to support the many ministries of the parish. As good stewards, we ask that you give joyfully and proportionately, gifting 5% of your income to Our Lady of Lourdes, 5% to other charities.
I will give:
Frequency
Per Week
Per Month
Per Year
For Faith Direct users, I will update my online rate to reflect my 2023 intention in January.
Yes
Planned Giving: Check here for more information about remembering Lourdes in your estate.
Yes
Online Giving
ONLINE GIVING IS AVAILABLE! Call 866-507-8757 for more information, or go to: https://membership.faithdirect.net/KY747
Ministry & Service
We all possess special gifts given to us by God. As members of our parish family, we ask each member to get involved in the parish by exploring and choosing a ministry or service opportunity that interests you. Please list each active member below.
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page.
Spouse or Family Member
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 2
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 3
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 4
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 5
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 6
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 7
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 8
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
Add another active member?
Yes
No
Family Member 9
Name
First
Last
Email
Phone
Date of Birth
Occupation
Sacraments
Baptism – Date and Place
First Communion – Date and Place
Confirmation – Date and Place
In what Apostolate(s) would you like to serve? For a list refer to our Apostolate page in this website.
Are you an alumnus of Our Lady of Lourdes school?
Yes
No
If yes, what year did you graduate?
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