St. Ann Catholic Church
& Holy Spirit Chapel

Mamou & Vidrine , LA

Phone Email Flocknote Facebook

Register as a New Parishioner

- Parish Life

The maximum number of form submissions has been reached. This form is currently not available.
- Family (Last) Name: REQUIRED Please fill out this field. Please enter valid data.
- Address: REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Would you like to receive Offertory Envelopes? REQUIRED Please fill out this field.
- HEAD OF HOUSEHOLD 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name, If Applicable: Please enter valid data.
- Gender: REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Ethnicity: REQUIRED Please fill out this field.
- Marital Status REQUIRED Please fill out this field.
- If Married:
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Occupation: Please enter valid data.
- Baptized REQUIRED Please fill out this field.
- Received 1st Communion REQUIRED Please fill out this field.
- Confirmed REQUIRED Please fill out this field.
- HEAD OF HOUSEHOLD 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Maiden Name, If Applicable: Please enter valid data.
- Gender:
- Date of Birth Please enter a date.
- Ethnicity:
- Marital Status
- If Married:
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Occupation: Please enter valid data.
- Baptized
- Received 1st Communion
- Confirmed
- Other(s) Living in Household REQUIRED Please fill out this field.
  
  Person 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  School Attending Please enter valid data.
  
  School Grade Level
  
  Attending CCD Class
  
  Baptized
  
  Received 1st Communion
  
  Confirmed
  
  Person 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  School Attending Please enter valid data.
  
  School Grade Level
  
  Attending CCD Class
  
  Baptized
  
  Received 1st Communion
  
  Confirmed
  
  Person 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  School Attending Please enter valid data.
  
  School Grade Level
  
  Attending CCD Class
  
  Baptized
  
  Received 1st Communion
  
  Confirmed
  
  Person 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  School Attending Please enter valid data.
  
  School Grade Level
  
  Attending CCD Class
  
  Baptized
  
  Received 1st Communion
  
  Confirmed
  
  Person 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  School Attending Please enter valid data.
  
  School Grade Level
  
  Attending CCD Class
  
  Baptized
  
  Received 1st Communion
  
  Confirmed
- Registration Confirmation Email REQUIRED Please fill out this field. Please enter an email address.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.