Our Lady of Light Catholic Community

Parish Registration

 

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Census & Sacramental Information

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Household:  

Last Name:

Address:
Unit #
Name of Development:
City:

State:

 Zip:

 

Home Phone Number:

   
Adults in Household:  

First & Last Name:

 

Goes By Name (Nickname):

Gender:

Title:

Birth Date

Marital Status:

Race/Ethnic:

Religion:

Occupation:

Cell Phone:

E-mail Address:

Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation Catholic Marriage

 

     

First & Last Name:

Goes By Name (Nickname):

Relationship to above:

Gender:

Title:

Birth Date

Marital Status:

Race/Ethnic:

Religion:

Occupation:

Cell Phone:

E-mail Address:

Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation Catholic Marriage
   
Are you a part time Florida resident? Yes No
   

Residence when not in Florida

Address:

City:

State:

Zip:

Phone Number:

How many months are you at this address? 

Which months do you reside at this address?
From:  To:
   
   

Children Living At Home

Do you have children living at home? Yes No
 
Name:
First Middle Last
Birth Date:
Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation

Name:

First Middle Last

Birth Date:

Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation

Name:

First Middle Last

Birth Date:

Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation

Name:

First Middle Last

Birth Date:

Please check which Sacraments received:
Baptized (Confession)
Reconciliation
First
Communion
Confirmation

 

Stewardship

We record all identifiable gifts.  Any donations totaling over $250.00 in any tax year will be acknowledged with a tax contribution statement in January.
   
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Are there any special circumstances we need to be aware of in order to serve you?
   

 

Our Lady of Light Catholic Community
19680 Cypress View Drive Fort Myers, Florida 33967
Telephone (239) 267-7088  Fax (239) 267-5481
info@ourladyoflight.com