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St. Patrick, Lucan and Holy Family, London

Family of Parishes with the Roman Catholic Diocese of London

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Registration Form

Respond only to those questions with which you feel comfortable answering. Either complete the registration form below, or download and print the form.

This information will be used to process registration and donations and to send out information on programs, ministries, and requests for financial support.

Primary Member Information

Date Registered (date the form is completed)

Which Parish do you attend?(required)

St. Patrick Lucan Holy Family London

Title

Mr. Mrs. Miss Ms. None Other

Name(required)

Home Address(required)

City & Province (required)

Postal Code(required)

Main Telephone #(required)

Emergency Telephone #

Email(required)

Date of Birth (Year/Month/Day)

Religion

Sunday Offertory

Offertory Envelope Pre- Authorized Giving Not at this time Holy Family Parish accepts donations via Pllenty at dol-holyfamily-mobile.pllenty.com

Marital Status

Single Married Common Law Widowed Separated Divorced

Sacraments Received in the Catholic Church

Baptism First Communion First Reconciliation Confirmation Catholic Marriage

Occupation

I would like to volunteer at the parish.

Yes No

In what area(s) would you like to volunteer?

Hospitality Online Ministry Livestream Mass Tech Support Music Ministry Interpreter God's Gardeners Choir Other

I would like to receive Our Family Overview (e-Bulletin) and updates.

Yes No

Other Adult Information

Title

Mr. Mrs. Miss Ms. None Other

Name

Relationship to Primary Member

Main Telephone #

Emergency Telephone #

Email

Date of Birth (Year/Month/Day)

Religion

Marital Status

Single Married Common Law Widowed Separated Divorced

Sacraments Received in the Catholic Church

Baptism First Communion First Reconciliation Confirmation Catholic Marriage

Occupation

I would like to volunteer in the parish.

Yes No

In what area(s) would you like to volunteer?

Hospitality Interpreter God's Gardeners Choir Kitchen Help Other

I would like to receive e-Bulletins and updates.

Yes No

Other Members (living at home)

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism First Communion First Reconciliation Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism First Communion First Reconciliation Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism First Communion First Reconciliation Confirmation

Name

Date of Birth (Year/Month/Day)

Relationship to Primary Member

Religion

Sacraments Received

Baptism First Communion First Reconciliation Confirmation

Have anything else to say? Send us a message below!

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St. Patrick Parish, Lucan, Ontario

32922 Richmond Street
Lucan, Ontario, N0M 2J0

(519) 227-4726

stpatlucan@dol.ca

Holy Family Parish, London, Ontario

777 Valetta Street
London, Ontario, N6H 2Y9

(519) 472-0057

hfparish@dol.ca

St. Patrick, Lucan and Holy Family, London,