Little Flower
Catholic Church

Truly Catholic • Truly Innovative • Truly Different

Parish Registration

Parish Registration

Welcome to Little Flower Catholic Church on-line parish registration form. This page will help you to register as a member of the parish. Simply go to the bottom of this page and answer the questions, once you are done, simply validate the form and select the “Submit” button.

If you are married or single you can use this form to register as a member of Little Flower Parish.

If you are sharing a home and are not married, each adult should register separately on a different form. If there are minor children living in the home, the adult who is the biological parent or the legal guardian of that child should list them on the form they are filling out.

This form can also be used by current parishioners to update their data profile, such as new phone numbers, e-mails and the like. Please note that this site is only to register as a parishioner.

Once you have registered, please stop by the parish office during normal business hours, or after one of the weekend Masses to introduce yourself to Fr. Larry Herzog and to pick up your welcome package.

Once again, thank you for registering and becoming a part of Little Flower Parish.
  • Please fill out as much as you can.  
  • The fields denoted with an * are required.  
  • Click the Submit button when finished.

Parish Registration

Little Flower Catholic Church Parishioner Registration
 Please fill out as much as you can.
One form per household. 
The fields denoted with an * are required.

New Registration or Update? *
Can we use this info in the parish directory? *
Adult #1 - E-mail: *
Adult #1 - First Name: *
Adult #1 - Last Name: *
Adult #1 - Middle Name: *
Adult #1 - Maiden Name
Adult #1 - Date of Birth: *
Adult #1 - Gender: *
Adult #1 - Address: *
Adult #1 - Address 2:
Adult #1 - City: *
Adult #1 - State: *
Adult #1 - Zip code: *
Adult #1 - Home Phone:*
Adult #1 - Mobile Phone:
Adult #1 - Marital Status:
Adult #1 - Date of Marriage:
Adult #1 - Religion:
Adult #1 - Sacraments Received: *


Adult #1 - Employer / Occupation:
Adult #1 - Do you intend to be active in the parish? *
Adult #1 - Would you like to be included on our email lists for notifications? *
Adult #2 - E-mail:
Adult #2 - First Name:
Adult #2 - Last Name:
Adult #2 - Middle Name:
Adult #2 - Maiden Name:
Adult #2 - Date of Birth:
Adult #2 - Gender:
Adult #2 - Mobile Phone:
Adult #2 - Marital Status:
Adult #2 - Date of Marriage:
Adult #2 - Religion:
Adult #2 - Sacraments Received:


Adult #2 - Employer/Occupation:
Adult #2 - Do you intend to be active in the parish?
Adult #2 - Would you like to be included on our email lists for notifications?
Child #1 - First Name:
Child #1 - Last Name (if different from adults):
Child #1 - Middle Name:
Child #1 - Gender:
Child #1 - Date of Birth:
Child #1 - Current Grade in School / School Attending:
Child #1 - Sacraments Received:


Child # 2 - First Name:
Child # 2 - Last Name (if different from adults):
Child #2 - Middle Name:
Child #2 - Gender:
Child #2 - Date of Birth:
Child #2 - Current Grade in School / School Attending:
Child #2 - Sacraments Received:


Child # 3 - First Name:
Child # 3 - Last Name (if different from adults):
Child #3 - Middle Name:
Child #3 - Gender:
Child #3 - Date of Birth:
Child #3 - Current Grade in School / School Attending:
Child #3 - Sacraments Received:


Child # 4 - First Name:
Child # 4 - Last Name (if different from adults):
Child #4 - Middle Name:
Child #4 - Gender:
Child #4 - Date of Birth:
Child #4 - Current Grade in School / School Attending:
Child #4 - Sacraments Received:


Any other info you would like us to know? Others you were not able to list on this form?

To validate your submission, please type the answer to the following question:

captcha question