Registration Form


Please Print

Family Name_____________________________________________________

Father’s Name____________________________________________________

Mother's Name___________________________________________________

Home Phone________________________Cell__________________________


Is Your Family Registered in this Parish________________________________

Name of Child______________________Age_______Grade in School_______

Has this child received the following Sacraments:

Baptism        Yes         No

First Reconciliation          Yes         No

First Communion        Yes        No

Confirmation          Yes      No


Registration Paid $____________

Please return form to the parish office or Email to

Church Address:

Our Lady of Fatima

56 Williams Ln.

Shady Cove, Oregon 97539


Mailing Address:

P.O.Box 116

Shady Cove, Or. 97539


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