OMGC Registration/Update

Marital StausChurch MarriageCivil Marriage onlySingleEngagedDivorcedWidowedSeparated

Family Last Name

TitleMr./Mrs.Mr.Mrs.Ms.

Head of Household First Name

Address/City/Zip

Preferred Family email address

Home Phone

Work/Cell Phone(s)

Date of Birth (mm/dd/yyyy)

Religion

Ethnicity (check any that apply)CaucasianBlackAsianHispanic

Occupation

Name of Spouse/Other

Email Address

Work/Cell Phone(s)

Date of Birth (mm/dd/yyyy)

Religion

Ethnicity (check any that apply)CaucasianBlackAsianHispanic

Occupation

Child 1 Living At Home

Date of Birth (mm/dd/yyyy)

statusSonDaughterBaptized

Child 2 Living At Home

Date of Birth (mm/dd/yyyy)

statusSonDaughterBaptized

Child 3 Living At Home

Date of Birth (mm/dd/yyyy)

status/check all that applySonDaughterBaptized

I/we attend the following Mass(s)Saturday 5:30 p.m.Sunday 7:30 a.m.Sunday 9:00 a.m.Sunday 11:00 a.m.Sunday 12:30 P.m. in SpanishSunday 6:00 p.m.

My/Our weeky donation is

Method of Payment