LOC Roster and Dues Information--2025-2026
Sign in to Google to save your progress. Learn more

ONLY FILL THIS OUT IF YOU HAVE INFORMATION THAT HAS CHANGED OR YOU ARE NEW TO LADIES OF CHARITY.

You do not need to complete the whole form, only the information that has changed.  Your name is the only required field.
Preferred First Name (as you want it to appear in the Roster) *
Last Name *
Spouse (Optional)
Spouse deceased?
Mark only one.
Clear selection
Street Address
City
State
Zip
Preferred Phone Number - type in this format 000-000-000.  We will only use one phone number in the Roster.
Do you want this number published in the roster?
Mark only one oval.
Clear selection
Email Address
Do you wish to have your email published in the Roster?
Mark only on oval.
Clear selection
I would like to receive Dates and Deals through email?
Mark only one oval.
Clear selection
Which parish do you attend? Parishes are in alphabetical order, ignore the preceding number.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report