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Join our Parish

- About

Welcome to Our Lady Queen of Mercy Parish. We encourage you to join our parish family by completing a Family Registration form located in the vestibule of the church and returning it to the church office, or completing the form below. Active Membership is determined by:

. Registration in the parish
. Faithful attendance at Sunday Mass & Holy Days
. Support of the parish through time, talent & treasures
The maximum number of form submissions has been reached. This form is currently not available.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street address REQUIRED Please fill out this field. Please enter valid data.
- City/State REQUIRED Please fill out this field. Please enter valid data.
- Zip REQUIRED Please fill out this field. Please enter an integer (number).
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- 2nd Phone# Maximum 20 characters Please enter a phone number.
- Marital status REQUIRED Please fill out this field.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  Primary language at home (Principal idioma en casa) Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED M F Please fill out this field.
  
  Sacraments Baptized Reconciliation First Communion Confirmed Marriage
  
  Date of Marriage Please enter a date.
- Spouse
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden name Please enter valid data.
  
  Religion Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender M F
  
  Sacraments Baptized Reconciliation First Communion Confirmed Marriage
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptized Reconciliation First Communion Confirmed
  
  Sex REQUIRED M F Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptized Reconciliation First Communion Confirmed
  
  Sex REQUIRED M F Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptized Reconciliation First Communion Confirmed
  
  Sex REQUIRED M F Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptized Reconciliation First Communion Confirmed
  
  Sex REQUIRED M F Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary language at home Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptized Reconciliation First Communion Confirmed
  
  Sex REQUIRED M F Please fill out this field.
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