New Member Registration

Welcome to Sacred Heart Parish! If you would love to be a part of our faith community here at Sacred Heart, please fill out this registration form and it will be automatically sent to the Parish Office.

Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

YYYY

Name (Spouse)

First Name

Last Name

Date of Birth

YYYY

Name (Child)

First Name

Last Name

Date of Birth

YYYY

Name (Child)

First Name

Last Name

Date of Birth

YYYY

Name (Child)

First Name

Last Name

Date of Birth

YYYY

Phone *

Phone

(###)

###

####

Email *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Would you like giving envelopes? *

Message

New Member Registration

815 High Street

Klamath Falls, OR 97601

PHONE: 541-884-4566

FAX: 541-882-0472