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Envelope Number Please enter valid data.

Street address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Primary Phone REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Home Phone/Landline Please fill out this field.

2nd Phone# Please enter a phone number.

Cell Phone Home Phone/Landline

We would like to contribute REQUIRED via e-Giving (send me the link) via Envelopes (send envelopes to our address) Please fill out this field.

Marital status REQUIRED Please fill out this field.

Is your current marriage Catholic? REQUIRED Please fill out this field.

Date of Marriage REQUIRED Please fill out this field. Please enter a date.

Church of Marriage REQUIRED Please fill out this field. Please enter valid data.

City, State of Church of Marriage REQUIRED Please fill out this field. Please enter valid data.

Head of Household

First Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Last Name REQUIRED Please fill out this field. 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.
Religion REQUIRED Please fill out this field. Please enter valid data.
Phone REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter valid data.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Sacraments REQUIRED Baptized Reconciliation First Communion Confirmed Marriage Please fill out this field.
Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
City, State of Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
Any previous marriages? REQUIRED Please fill out this field.

Spouse

First Name REQUIRED Please fill out this field. Please enter valid data.
Middle Name Please enter valid data.
Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Last Name REQUIRED Please fill out this field. 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.
Religion REQUIRED Please fill out this field. Please enter valid data.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Phone REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter valid data.
Sacraments REQUIRED Baptized Reconciliation First Communion Confirmed Marriage Please fill out this field.
Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
City, State of Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
Any previous marriages? REQUIRED Please fill out this field.

I understand by submitting my registration that Our Lady of the Lakes Catholic Church or the Archdiocese of Detroit may contact me via mail, email, phone, etc.

Yes Please select this field.

Our Lady of The Lakes

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