Parish Membership Form

701-839-6834

707 16th Avenue SW
Minot, ND 58701-6234

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Parish Membership Form

Parish Membership Form

We're so happy that you've chosen to join our faith family!

To register as a member of the parish, please complete the form below. Or, if you prefer to print out the form and complete it, please click here for a printable form.

Parish Registration Form

Today's Date

Type of Registration

New Parishioner Registration

Current Parishioner Update

Adult Member #1: First, Middle, Last Name

Adult Member #2 (if applicable): First, Middle, Last Name

Street Address

City

State

Zip

Best Phone Number for contacting the family

Do you live in the area year round or seasonally?

Year Round

Seasonally

Cell Phone Number for Adult #1

Cell Phone Number for Adult #2 (if applicable)

Best Email Address for contacting the family

Email Address for Adult #1

Email Address for Adult #2 (if applicable)

Please check one:

Single

Married

Divorced

Annulled

Widowed

Married Civilly

Marriage Date (if applicable)

Marriage Church Name (or other location) & City & State

Is Adult #1 Catholic?

Yes

No

Is Adult #2 Catholic?

Yes

No

Child #1 Name (First, Middle, Last)

Child #1 Birth Date

City & State where Child #1 was born

Baptism Date of Child #1

Baptism Church, City & State of Child #1

Did Child #1 receive First Eucharist?

Yes

No

First Eucharist Church, City & State of Child #1

Has Child #1 been Confirmed?

Yes

No

Confirmation Church, City & State of Child #1

Child #2 Name (First, Middle, Last)

Child #2 Birth Date

City & State where Child #2 was born

Baptism Date of Child #2

Baptism Church, City & State of Child #2

Did Child #2 receive First Eucharist?

Yes

No

First Eucharist Church, City & State of Child #2

Has Child #2 been Confirmed?

Yes

No

Confirmation Church, City & State of Child #2

Child #3 Name (First, Middle, Last)

Child #3 Birth Date

City & State where Child #3 was born

Baptism Date of Child #3

Baptism Church, City & State of Child #3

Did Child #3 receive First Eucharist?

Yes

No

First Eucharist Church, City & State of Child #3

Has Child #3 been confirmed?

Yes

No

Confirmation Church, City & State of Child #3

Please list the Names, Birth Dates & Sacraments of Other Children

Would you like to sign up for secure Online Giving? (You may do so under the "Give Online" tab on our website.)

Yes

No

Are you ill or housebound and do you need Communion brought to your home?

Yes

No

Would you like to speak to a priest?

Yes

No

I would like to learn more about:

Being an Altar Server (grade 4 & up)

Helping with Children's Liturgy of the Word during 10:30am Mass

Choir - Adult

Choir - Children's

Music Ministry (directing, playing piano, other instruments, etc.)

Event Volunteering

Faith Formation & Sacramental Preparation

Youth Groups & Activities

Serving as a Lector (reader)

Serving as an Usher/Greeter

Participating in Men's Ministry & groups

Participating in Women's Ministry & groups

Participating in O.C.I.A. (Becoming Catholic)

Serving on the Parish Council

Receiving Prayer Chain Intentions

Preparing for the Sacraments

Assisting with or leading Vacation Bible School

Participating in or leading Bible Study

Spanish Language Mass & Ministries

Other

If Other, please specify

Thank you for registering as a member at Our Lady of Grace Catholic Church. We welcome you! Please call the parish office at 701-839-6834 if you have any questions about the parish or the many parish opportunities available for your family. If you haven't already, please introduce yourself to our priests at Mass and stop by the parish office to meet our staff when you get time. May God bless you.

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707 16th Avenue SW
Minot, ND 58701-6234

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