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Online Parish Registration Form

Register online by filling out the following form, or print and fill in by hand our PDF form. Thank you!

Fields marked with blocks are required.

 Family Name:   
 Address:   
 City:

 State:

 Zip code:

Phone:

 Listed    
 Unlisted
 Private
Cell:

     Email Address:    

 Envelopes desired:  Yes    No    

Name of household members with date of birth:

 1.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 2.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 3.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 4.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 5.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 6.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 7.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 8.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

 9.               Born:   / /                                    
              FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)
BAPTIZED?
1st COMMUNION?
CONFIRMED?

Online Parish Registration Form

Register online by filling out the following form, or print and fill in by hand our PDF form. Thank you!

Fields marked with blocks are required.

 Family Name:
  
 Address:   
 City:

 State:

 Zip code:

Phone:

 Listed    
 Unlisted
 Private
Cell:

     Email Address:    

 Envelopes desired:  Yes    No    
Name of household members with date of birth:

 1.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 2.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 3.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 4.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 5.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 6.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 7.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 8.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 9.               Born:   / /
            FIRST NAME(S)
LAST NAME
(MM/DD/YYYY)   

                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?


Online Parish Registration Form

Register online by filling out the following form, or print and fill in by hand our PDF form. Thank you!

Fields marked with blocks are required.

 Family Name:

 Address:

 City:

 State:

 Zip code:

   Phone:

 Listed    
 Unlisted
 Private

   Cell:

   Email Address:


 Envelopes desired:  Yes    No

Name of household members with date of birth:

 1.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 2.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 3.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 4.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 5.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 6.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 7.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 8.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?



 9.                FIRST NAME(S)
               LAST NAME
       Born:   / /      (MM/DD/YYYY)
   
                             
BAPTIZED?
1st COMMUNION?
CONFIRMED?


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About Our Parish

Mary Immaculate of Lourdes is Newton and Needham Massachusetts's oldest Roman Catholic Parish. Founded as Saint Mary's Parish in 1870 it was renamed "Mary Immaculate of Lourdes" when the new Church was dedicated on Thanksgiving Day, 1910. In addition to being a regular territorial parish of the Archdiocese of Boston it is also a "Mission Parish" since 2007 with a special apostolate for the Traditional Latin Mass (1962 Missal).

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"If you are willing to serenely bear the trial of being displeasing to yourself, then you will be for Jesus a pleasant place of shelter."
- St. Therese of Lisieux (+1897)

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