|||
Sacred Heart of Jesus
Roman Catholic Church
Founded in 1890
28088 Main Street
Lacombe, LA 70445
ombe, LA 70445
Mass Times
Contact Us
Registration Form
Facebook
Twitter
Search
Welcome Home
About SHJ
Staff
Our Lady of Lourdes Shrine
History of SHJ
Former Pastors of SHJ
Photos from the Past
Contact Us
Liturgy / Sacraments
Mass Times
Guidelines for Sacraments
Baptism
First Communion
Faith Formation
CCD
Catholic Education
Ministries
CYO
Widows and Widowers Support Group
Knights of Columbus
Legion of Mary
Eucharistic Homebound
Music Ministry
Eucharistic Adoration
SHJ Altar Society
Altar Servers
Extraordinary Ministers of the Eucharist
Lectors/Readers
Ushers/Ministers of Hospitality
Pastoral Council
Samaritan Center Representatives
Healthy Heart Ministry
Finance Council
RCIA
News / Events
Bulletins
Upcoming Events
Photo Albums
St. Joseph's Altar
Registration Form
Registration Form
News / Events
Bulletins
Upcoming Events
Photo Albums
St. Joseph's Altar
Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
Family Name
REQUIRED
Please fill out this field.
Please enter valid data.
Physical Address
REQUIRED
Limited to 25 charcters
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Home Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Cell Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Head of Household
REQUIRED
Please fill out this field.
Please enter valid data.
Email
Please enter an email address.
Gender
REQUIRED
Select one
Male
Female
Please fill out this field.
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Cell Phone Number
REQUIRED
Include area code
Please fill out this field.
Please enter a phone number.
Business/Home Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Name of Spouse
REQUIRED
Please fill out this field.
Please enter valid data.
Email
Please enter an email address.
Maiden Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Use this format: 01/01/1985
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Cell Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Business/Home Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Do you use envelopes?
REQUIRED
Click on the arrow to select your response
(Select One)
Yes
No
Please fill out this field.
Child #1 Living at Home or at College
First Name
Please enter valid data.
Last Name
Please enter valid data.
Gender
Click on one
Male
Female
Date of Birth
Use this format: 01/05/1985
Please enter a date.
Religion
Please enter valid data.
Grade
Please enter valid data.
Attend Catholic School?
Click on the appropriate button
Yes
No
Child #2 Living at Home or at College
First Name
Please enter valid data.
Last Name
Please enter valid data.
Gender
Click on one
Male
Female
Date of Birth
Use this format: 01/05/1985
Please enter a date.
Religion
Please enter valid data.
Grade
Please enter valid data.
Attend Catholic School?
Click on the appropriate button
Yes
No
Child #3 Living at Home or at College
First Name
Please enter valid data.
Last Name
Please enter valid data.
Gender
Click on one
Male
Female
Date of Birth
Use this format: 01/05/1985
Please enter a date.
Religion
Please enter valid data.
Grade
Please enter valid data.
Attend Catholic School?
Click on the appropriate button
Yes
No
Child #4 Living at Home or at College
First Name
Please enter valid data.
Last Name
Please enter valid data.
Gender
Click on one
Male
Female
Date of Birth
Use this format: 01/05/1985
Please enter a date.
Religion
Please enter valid data.
Grade
Please enter valid data.
Attend Catholic School?
Click on the appropriate button
Yes
No
Child #5 Living at Home or at College
First Name
Please enter valid data.
Last Name
Please enter valid data.
Gender
Click on one
Male
Female
Date of Birth
Use this format: 01/05/1985
Please enter a date.
Religion
Please enter valid data.
Grade
Please enter valid data.
Attend Catholic School?
Click on the appropriate button
Yes
No
Family Member #1 Living in the House
Name
Please enter valid data.
Relationship
Please enter valid data.
Family Member #2 Living in the House
Name
Please enter valid data.
Relationship
Please enter valid data.
Family Member #3 Living in the House
Name
Please enter valid data.
Relationship
Please enter valid data.
Submit
Close (Esc)
Share
Toggle fullscreen
Zoom in/out
Previous (arrow left)
Next (arrow right)