Little Falls Catholic Tri-Parish Roster Update

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With the recent happenings with the COVID-19 pandemic, along with the efforts being made to update the Tri-Parish directory, it has come to light that a lot of the information in our rosters is inaccurate and out of date. To help the parishes better serve the people, we are looking to get this updated. Please help us by filling out this form to ensure we have the correct information on file.

First, and foremost, are you or someone you know (friend, neighbor, relative) in need of any assistance with basic needs during this time of uncertainty? *

Yes

Other:

If yes, briefly describe the need and who it's for.

Which parish are you registered with? *

Holy Family

Our Lady of Lourdes

St. Mary's

Not registered but would like to be

Other:

Your Last Name *

Your First Name *

Your Spouse or Significant Others First Name (and last, if different from above)

Street Address *

City *

State *

Zip Code *

Mailing Address, if different from above

Primary Phone Number *

Secondary Phone Number

Primary Email Address (put N/A if no email address) *

Secondary Email Address

What is your preferred method of contact? *

Phone Call

Text Message

Please list all minor children from oldest to youngest (First & Last Name, if different from above)

Please list all children 18 years or older living in your home

How do you prefer your information be protected? *

The information I submit is for use ONLY by parish staff.

I authorize the contact information I submit to be printed in the church directory

Other:

Have you already had your picture taken for the new tri-parish directory? *

Yes

I would like to schedule a time to have that done

I have already submitted one of my own

I would like to submit a picture and $10 for the new directory

I do not wish to have my picture in the directory

Other:

Lastly, how can we pray for you or your family. (This is confidential)

Submit

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