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New Parishioner Registration

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Welcome to Our Lady of the Mountain Catholic Church! We are a dynamic and close community located in Ashland, OR. We offer a full range of ministries and Religious Education for Catholics of all ages. To register, simply fill out the form below.

¡Bienvenidos a la Iglesia Católica Nuestra Señora de la Montaña! Somos una comunidad dinámica y cercana ubicada en Ashland, Oregón. Ofrecemos una gama completa de ministerios y educación religiosa para católicos de todas las edades. Para registrarse, simplemente complete el formulario a continuación.
registration form
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information / Información Familiar
- Street Address / Dirección 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.
- How many heads of household? / ¿Cuántos jefes de hogar? REQUIRED Please fill out this field.
  
  Heads 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.
  
  Date of Birth / Fecha de nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Home Telephone Number / Teléfono de Casa Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number / Número de Cellular REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email / Correo electrónico Please enter an email address.
  
  Heads of Household 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Home Telephone Number / Teléfono de Casa Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number / Número de Cellular REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email / Correo electrónico Please enter an email address.
- How many children are you registering? /¿Cuántos hijos van a registrar? REQUIRED Please fill out this field.
  
  Child / Hijo 1
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 2
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 3
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 4
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 5
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 6
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 7
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Child / Hijo 8
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth/Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
- We use Flocknote as our parish-wide platform for important updates via email and text. Would you like to be added? Usamos Flocknote como nuestra plataforma parroquial para actualizaciones importantes. ¿Le gustaría ser agregado? REQUIRED Yes No Please fill out this field.
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