St. John LaLande Catholic Church

Blue Springs, MO

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- Welcome to St. John LaLande Catholic Church
  
  We want you to feel welcome and a part of our SJL Catholic faith community! For directions, click here. For Mass and Confession times, click here. Feel free to come in during our office hours or call 816-229-3378 with any questions or in case you or your loved one need to be anointed.
  
  To find more about our Catholic Faith, please explore our Rite of Christian Initiation for Adults. To find out about programs for your children, please consider our Parish Religious Education Program or our Youth or Young Adults Program.
  
  Our various ministries are listed under the ministries tab and some ministries have their own pages.
  
  To register here at SJL, please fill out the required sections of the form below and share your interests with us. If you prefer to fill out a paper registration form and turn it in the parish office, please download the PDF form or pick one up at the Parish office M-F.
- Parish Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Date Please enter a date.
  
  Family Information
  
  Family Name Please enter valid data.
  
  Family 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.
  
  Preferred Title for Mail:
  
  Primary Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home (or Primary) Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Contact
  
  Name Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Head of Household
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email (If Different than Primary) Please enter an email address.
  
  Employer Please enter valid data.
  
  Work Phone # Please enter valid data.
  
  Self Employed? Yes No
  
  Spouse
  
  Full Name Please enter valid data.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email (If Different than Primary) Please enter an email address.
  
  Employer Please enter valid data.
  
  Work Phone # Please enter valid data.
  
  Self Employed? Yes No
  
  Is it okay to text you? yes no
  
  If yes, preferred number to receive texts Maximum 20 characters Please enter a phone number.
  
  Please use my (check all that apply) for office use only. Name Address Phone Number Email
  
  Marital Status REQUIRED Please fill out this field.
  
  Wedding Date Please enter valid data.
  
  Wife's Maiden Name Please enter valid data.
  
  Wedding Church/City Please enter valid data.
  
  Family Sacramental Information
  
  Head of Household
  
  Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth Please enter valid data.
  
  Sex Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter valid data.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter valid data.
  
  Confirmation Yes No
  
  Date Please enter valid data.
  
  Spouse
  
  Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City/State of Birth Please enter valid data.
  
  Sex Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter valid data.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter valid data.
  
  Confirmation Yes No
  
  Date Please enter valid data.
  
  Other Adult in the Home
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City/State of Birth Please enter valid data.
  
  Sex Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter valid data.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter valid data.
  
  Confirmation Yes No
  
  Date Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter valid data.
  
  Children REQUIRED Please fill out this field.
  
  Child 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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 3
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 4
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 5
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 6
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 7
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 8
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 9
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 10
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 11
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Child 12
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Grade in School
  
  Religion Please enter valid data.
  
  Sacraments Received:
  
  Baptism Yes No
  
  Date Please enter a date.
  
  Name of Church/City and State of Baptism Please enter valid data.
  
  First Communion Yes No
  
  Date Please enter a date.
  
  Confirmation Yes No
  
  Date Please enter a date.
  
  Other Information
  
  Special Needs
  
  What are some activities that interest you? Volunteering with Youth Evangelization Helping Others Adoration (Sign up found on the Worship page) Teaching a class or leading a group Photography or Videography Helping with Adult Education and Formation Cooking or Preparing Meals Organizing Events Counting Money Singing or Playing an Instrument Liturgical Ministries (please specify)
  
  What do you enjoy doing?
  
  Feel free to be more specific:
  
  Office Use Only:
  
  Env. # _____________
  
  □ PS
  □ WL
  □ OFP
  □ EB/CC
  
  Submit
  
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