Prayer

PACE Rosary Group

This group visits the PACE (Programs of All-inclusive Care for the Elderly) Center to lead residents in the Holy Rosary. Pairs of members commit to one week every two to three months to lead joined by any other members who are available.

More Information

When:

Wednesdays at 10:30 am

Learn More About PACE

About PACE
Calendar of Volunteers

Materials for Leaders

PACE Information and Map
PACE Leader Instructions
Rosary Instructions

Site by Covalent Logic

RCIC Registration Form 2016-17

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

Our Lady of Mercy Parish RCIC Registration 2016-2017

Fields marked with a * are required

The fee is $30 per student or $60 per family. Please complete the Registration Form, and have your credit card ready for payment. Thank you.

OLOM Church/School may publish photographs of your child(ren) *
Yes
No

Part I - Student's Information

(Must be completed for EACH student enrolling)

First Name *

Middle Name *

Last Name *

Sex *
Male
Female

Place of Birth

City *

State *

Grade Entering 2016-2017 Year *

School of Enrollment

Child Attends OLOM Extended Day

Child 2 First Name

Middle Name

Child 2 Last Name

Sex
Male
Female

Place of Birth

City

State

Grade Entering 2016-2017 Year

School of Enrollment

Attends OLOM Extended Day

Child 3 First Name

Child 3 Last Name

Sex
Male
Female

Place of Birth

City

State

Grade Entering 2016-2017 Year

School of Enrollment

Attends OLOM Extended Day

Child 4 First Name

Child 4 Last Name

Sex
Male
Female

Place of Birth

City

State

Grade Entering 2016-2017 Year

School of Enrollment

Attends OLOM Extended Day

Part II - Parent's Information

(Must be completed for EACH student enrolling)

Student Lives With
Both Parents
Mother
Father
Mother & Stepfather
Father & Stepmother
Grandparents

Send All Mailings To*

First Name *

Last Name *

Address *

City *

State *

Zip / Post Code *

Mother's Information

Mother's First Name *

Mother's Last Name *

Mother's Maiden Name

Home Phone *

Cell Phone

Work Phone

Email *

Mother's Occupation

Mother's Religion

Are you registered with OLOM Church

Father's Information

Father's First Name *

Father's Last Name *

Home Phone *

Cell Phone

Work Phone

Email

Father's Occupation

Father's Religion

Are you registered with OLOM Church

Emergency Contact

Emergency Contact First Name *

Emergency Contact Last Name *

Phone *

We are here to support you in the Christian education of your child and are most concerned about meeting the needs of each student. Therefore, please note any special needs or situations in your child's life, or in the life of your family that his/her religion teacher should know. All information will be held in the strictest confidence. This knowledge could save embarrassment for your child during the course of the year, and will increase the effectiveness of our teachers (i.e. learning problems, separation, divorce, remarriage, recent death in family, etc).

Interests

Why does your child want to become Catholic?

Who or what played a significant role in the decision to become a Catholic?

$30 Registration per student or $60 per family
One Child
Family

Total

Card Number The (typically) 16 digits on the front of your credit card.

CVC The 3 digit (back) or 4 digit (front) value on your card.

Name on the card The name printed on the front of your credit card.

Expiration month (MM) The month your credit card expires, typically on the front of the card.

Expiration year (YYYY) The year your credit card expires, typically on the front of the card.

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Pilgrimage of Mercy

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

The major relics of St. Maria Goretti will be displayed at Our Lady of Mercy on the Eve of All Saints Day through All Saints Day of this year. Please consider making a gift to help defray the cost of the pilgrimage to our parish.

If you have questions or need help with this form, please email Ms. Deanie Smith, or call her (225) 926-1883. After entering your personal information and the amount(s), you will be directed to a secure website for the Donation/Credit Card Process. Please have your credit card information ready.

First Name *

Last Name *

Address *

City *

State *

Zip / Post Code *

Phone *

Email *

Pilgrimage of Mercy Donation Amount *

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Holy Name Society Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

First Name *

Last Name *

Email *

Phone *

Comment

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Mercy Greeters Ministry Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

Sign up here for the Greeters Ministry. Greeters assist periodically with distribution and/or of materials to those attending masses.

First Name *

Last Name *

Address *

City *

State *

Zip / Post Code *

Phone *

Email *

Mass Preference(s)

Saturday, 4 PM

Saturday, 6 PM

Sunday, 7 AM

Sunday, 9 AM

Sunday, 10:30 AM

Sunday, 12 NOON

Sunday, 6 PM

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Life Teen Registration Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

The $50 registration fee covers a t-shirt and food for Life Nights.

OLOM Church may publish photographs of your child
Yes
No

Part I - Teen Specifics

Teen First Name *

Teen Last Name *

Gender *
Male
Female

T-Shirt Size

Address *

City *

State *

Teen Cell Phone *

Teen Email *

School of Enrollment *

Grade Entering 2016-2017 Year *

Part II - Parent's Information

(Must be completed for EACH student enrolling)

Mother's Information

Mother's First Name *

Mother's Last Name *

Home Phone *

Cell Phone

Mother's email *

Father's Information

Father's First Name *

Father's Last Name *

Home Phone *

Cell Phone

Father's email *

Emergency Contact

First Name *

Last Name *

Phone *

Special Needs (if applicable). Describe any allergy, chronic illness, or other conditions:

Parents - Are you interested in chaperoning events? *

Parents - Are you interested in providing a meal for Life Nights? *

$50 Registration per teen *
Registration

Total

Card Number The (typically) 16 digits on the front of your credit card.

CVC The 3 digit (back) or 4 digit (front) value on your card.

Name on the card The name printed on the front of your credit card.

Expiration month (MM) The month your credit card expires, typically on the front of the card.

Expiration year (YYYY) The year your credit card expires, typically on the front of the card.

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Evening Bible Study Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

First Name *

Last Name *

Address *

City *

State *

Zip / Post Code *

Phone *

Email *

What is 1 + 2? *
Help us stop spammers by answering this easy question.

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

Site Feedback

We value your feedback. Please send us your comments below.

Email *

Comments *

What is 1 + 2? *
Help us stop spammers by answering this easy question.

Prayer

PACE Rosary Group

More Information

When:

Learn More About PACE

Materials for Leaders

Church

School

Parish Activity Center