Name (First & Last)

First Name

Last Name

Spouse's Name (First & Last)

Family Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Family Email

Do we need to add anyone to your household? (marriage, birth, etc.)

*Please only add members currently living in your household.

If yes, please list the names we should add and their family role (i.e. head, wife, daughter, son, etc.).

Do we need to remove anyone from your household? (death, moved away, etc.)

If yes, please list the names we should remove.

Do you want to receive (or continue receiving) offertory envelopes?

Are there any other changes we need to make or anything you would like us to know?

Our Lady of Loreto

Parishioner Information Update Form