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Eucharist
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Vacation Bible School
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Ministries
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Documents
Importance of Parish Registration
Welcome New Parishioners!
The maximum number of form submissions has been reached. This form is currently not available.
To register with Our Lady of Prompt Succor Parish, please complete all registration information below to the best of your knowledge. If you require additional space for extra children or adults, please complete an additional registration form. If the question does not apply to you, please leave it blank.
Your information will be sent directly to the Parish Office and is confidential. If you would rather register in person, please visit the Parish Office.
Parish Office
Mary Ann LeBlanc,
Administrative Assistant
[email protected]
Monday - Friday: 8:00am - 4:00 pm
Phone: (337) 527-5261
Fax: (337) 528-2991
1109 Cypress Street
Sulphur, Louisiana 70663
MAILING LABEL:
(List husband & wife, if married)
Name
REQUIRED
Maximum 60 characters
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Please enter valid data.
Address
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Address
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Home Phone
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Please enter valid data.
Begin this section by registering the head of household first followed by spouse and dependent children. Please register all individuals in the household.
Example-1: If you are married with two kids, then select Husband as Registrant #1. Fill in husband's information, scroll down to Wife's section and complete her information, then scroll down to Children's section and complete those fields. After all household members have been entered, scroll to bottom of form and click Submit.
Example-2: If you are a divorced female with two kids, select Single Female (Head Household) as Registrant #1. Fill in your information in the first section, then scroll down to Children's section and complete those fields. After all household members have been entered, scroll to bottom of form and click Submit.
Registrant #1
REQUIRED
Single Male (Head Household)
Single Female (Head Household)
Husband
Please fill out this field.
Name
REQUIRED
Maximum 60 characters
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Please enter valid data.
Email
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Please enter an email address.
Cell/Home Phone Number
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Date of Birth
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Date of Birth
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Birth City
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Are you Catholic?
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Religion
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Are you baptized?
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Place of Baptism
If baptized, list the church and city/state where baptism took place.
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Marital Status
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Were you married by a priest?
If applicable, was your marriage ceremony officiated by a priest.
Yes
No
N/A
Employer
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Occupation
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This section to be completed with wife's information only, if applicable. To continue registering children, scroll down to next section.
Name of Wife
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Email
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Cell/Home Phone Number
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Date of Birth
Date of Birth
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Birth City
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Birth State
Where you were born.
None
AK
AL
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AS
AZ
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CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
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NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
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UT
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VI
VT
WA
WI
WV
WY
Are you Catholic?
Yes
No
Religion
If not Catholic, note religion here.
Please enter valid data.
Are you baptized?
Yes
No
Place of Baptism
If baptized, list the church, city, and state where baptism took place.
Please enter valid data.
Marital Status
Single
Married
Separated
Divorced
Were you married by a priest?
If applicable, was your marriage ceremony officiated by a priest.
Yes
No
N/A
Maiden Name
If registering the wife, list her maiden name here.
Please enter valid data.
Employer
Please enter valid data.
Occupation
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This section to be completed with dependent child(ren)'s information only, if applicable. To continue registering other adults living in your household, scroll down to next section.
Name of Child #1
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Sex
Note whether child is male or female.
Male
Female
Birthdate
Please enter a date.
Religion
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Baptized
Yes
No
Place of Baptism
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Grade
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School
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Maiden Name of Mother
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Name of Father
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Name of Child #2
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Sex
Note whether child is male or female.
Male
Female
Birthdate
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Religion
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Baptized
Yes
No
Place of Baptism
Church, City, State
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Grade
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School
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Maiden Name of Mother
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Name of Father
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Name of Child #3
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Sex
Note whether child is male or female.
Male
Female
Birthdate
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Religion
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Baptized
Yes
No
Place of Baptism
Church, City, State
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Grade
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School
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Maiden Name of Mother
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Name of Father
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Name of Child #4
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Sex
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Male
Female
Birthdate
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Religion
Please enter valid data.
Baptized
Yes
No
Place of Baptism
Church, City, State
Please enter valid data.
Grade
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School
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Maiden Name of Mother
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Name of Father
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This section to be completed for other adults living in your household, if applicable.
Name of Other Adult #1
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Sex
Male
Female
Email
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Cell/Home Phone Number
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Date of Birth
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Birth City
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Birth State
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AK
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ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Are you Catholic?
Yes
No
Religion (if not Catholic)
Please enter valid data.
Are you baptized?
Yes
No
Place of Baptism
Please enter valid data.
Marital Status
Single
Married
Separated
Divorced
Maiden Name
Please enter valid data.
Employer
Please enter valid data.
Occupation
Please enter valid data.
Name of Other Adult #2
Please enter valid data.
Sex
Male
Female
Email
Please enter an email address.
Cell/Home Phone Number
Maximum 20 characters
Please enter a phone number.
Date of Birth
Please enter a date.
Birth City
Please enter valid data.
Birth State
None
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Are you Catholic?
Yes
No
Are you baptized?
Yes
No
Place of Baptism
Please enter valid data.
Marital Status
Single
Married
Separated
Divorced
Maiden Name
Please enter valid data.
Employer
Please enter valid data.
Occupation
Please enter valid data.
Submit
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