&lt;div&gt;Registration for Sacraments Only&lt;/div&gt;

Main Contact Email Address REQUIRED Please fill out this field. Please enter an email address.

I am a registered parishioner at Our Lady of Mercy Catholic Church. REQUIRED Yes Please fill out this field.

You must be a registered parishioner of Our Lady of Mercy Catholic Church to receive Sacraments at OLOM. If you don't know if you're a registered parishioner of OLOM, please contact Kelly Athey at 301-365-1415 to inquire. If you would like to register to be a parishioner of OLOM, please click here.

Please note - you can only be registered with one parish. If you're registered with another parish, please email church@olom.org to change your registration

Family Name: REQUIRED Please fill out this field. Please enter valid data.

Home Phone Number: REQUIRED Please fill out this field. Please enter a phone number.

Street 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.

Parent/Guardian Information:

Parent/Guardian 1 Full Name (First and Last Name): REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 1 Phone Number: REQUIRED Please fill out this field. Please enter a phone number.

Parent/Guardian 1 Email: REQUIRED Please fill out this field. Please enter an email address.

Parent/Guardian 1 Religion: Please enter valid data.

If Catholic, Sacraments Parent/Guardian 1 has received in the Catholic Church Baptism First Communion Confirmation Marriage

Parent/Guardian 2 Full Name (First and Last Name): Please enter valid data.

Parent/Guardian 2 Phone Number: Please enter a phone number.

Parent/Guardian 2 Email: Please enter an email address.

Parent/Guardian 2 Religion: Please enter valid data.

If Catholic, Sacraments Parent/Guardian 2 has received in the Catholic Church: Baptism First Communion Confirmation Marriage

Number of Children to Register REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Name/Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- SACRAMENTS THE CHILD HAS ALREADY RECEIVED
- Baptism (required) REQUIRED Yes Please fill out this field.
- Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Meridith Sloan at msloan@olom.org for more information and instructions for completing registration.
- First Communion REQUIRED Yes No Please fill out this field.
- If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
- Sacraments you are registering this child to receive at Our Lady of Mercy 2nd Grader - First Communion 8th Grader - Confirmation

Publicity Release Form
Our Lady of Mercy and the Archdiocese of Washington have opportunities throughout the year to promote Catholic religious education through news stories in radio, TV, print and electronic media. Permission is hereby granted to Our Lady of Mercy and the Archdiocese of Washington to use the voice/audio recordings, photographs, video and quotations of your student to assist in community awareness, educational efforts and related public relations purposes, including media coverage of school events and activities and public relations/advertising that may include brochures, poster, print, radio, internet, TV or any other electronic media. In exchange for the opportunity to participate in the community awareness programs, educational efforts and related publicity endeavors of Our Lady of Mercy and the Archdiocese of Washington, I, hereby, agree to release and hold harmless Our Lady of Mercy, the Archdiocese of Washington and their agents, servants and employees from any and all claims, demands, causes of action and/or liability of whatever kind or nature arising out of or connected to the use of said voice/audio recordings, photographs, video and quotations. I hereby waive any right to compensation, fee or royalty for myself, the participant/student or our successors, heirs or assigns in connection with the production or use of the aforesaid materials.

I have read and agree with the Publicity Release Form. I agree with the above. I do not agree with the above.