Update Your Information

We want to stay in touch!

Our Parish Family is Important

We don't want to lose touch with the members of our Parish Family. Please fill out the following survey so that we can update our records and contact you with important, up-to-date information.

Parishioner Information Form

* Indicates required field

What is your current Address? *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Adult #1 in the Household *

First

Last

Adult #1 Cell Phone *

Adult #1 email Address *

Adult #2 in the Household *

First

Last

Adult #2 Cell Phone *

Adult #2 Email Address *

Adult #3 in the Household *

First

Last

Adult #3 Cell Phone *

Adult # 3 Email Address *

Adult #4 in Household *

First

Last

Adult #4 Cell Phone *

Adult #4 Email Address *

Please list the names of the minors in the household. *

Do you give LaPorte Catholic Church permission to send texts or emails? *

Yes, I would like to receive texts and/or email updates Yes, but I would prefer to receive text updates ONLY. Yes, but I would prefer to receive email updates ONLY NO, I would not like to receive any text and/or email updates.

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