Our Lady of the Cove Catholic Church

Kimberling City, MO

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Registration

- New Parishioner REgistration Form
  
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  Family Information
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Best Email for general church information REQUIRED Please fill out this field. Please enter an email address.
  
  Previous Parish Please enter valid data.
  
  Male
  
  First Name Please enter valid data.
  
  Employer Please enter valid data.
  
  Occupation Please enter valid data.
  
  Work Phone Maximum 20 characters Please enter a phone number.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Eucharist Confirmation
  
  Female
  
  First Name Please enter valid data.
  
  Employer Please enter valid data.
  
  Occupation Please enter valid data.
  
  Work Phone Maximum 20 characters Please enter a phone number.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Eucharist Confirmation
  
  Marital Status
  
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  Please provide the date of your marriage or divorce Please enter a date.
  
  If Divorced, have you applied for Annulment? Yes No
  
  If yes, was the annulment granted? Yes No
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 2
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 3
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 4
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 5
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 6
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 7
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 8
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 9
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Child 10
  
  Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Current Age Please enter an integer (number).
  
  School Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments
  If the sacrament has been received, please enter the date.
  
  Baptism Date Please enter a date.
  
  Reconciliation Date Please enter a date.
  
  First Eucharist Date Please enter a date.
  
  Confirmation Date Please enter a date.
  
  Name Tags
  
  How many name tags would you like? ($10.00 each) Please enter an integer (number).
  
  Names on Tags
  
  Ministries
  
  Please select one or more of the following ministries you would like to serve in the Church: Lector Eucharistic Minister Server PCCW Usher Youth Ministry Music Food Pantry Altar Society Gardening Outreach Ministry Garage Sale Homebound Ministry Adoration Knights of Columbus Art & Environment
  
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Registration

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