registration for religious education and sacraments

I am a registered parishioner of Our Lady of Mercy Catholic Church. Yes

If you are not a registered parishioner of Our Lady of Mercy Catholic Church please speak to one of the priests or to the Director of Religious Education. 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 need to update your registration please email church@olom.org.

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

Home Phone Number Please enter a phone number.

Street Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Parent/Guardian 1

First and Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Religion Please enter valid data.
If Catholic, Sacraments Received Baptism 1st Communion Confirmation Marriage

Parent/Guardian 2

First and Last Name Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
Email Please enter an email address.
Religion Please enter valid data.
If Catholic, Sacraments Received Baptism 1st 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 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name 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 Attending in 2024-2025 REQUIRED Please fill out this field. Please enter valid data.
- Grade in 2024-25 REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- SACRAMENTS THIS CHILD HAS ALREADY RECEIVED
- Baptism: Yes
- Baptism Date: Please enter valid data.
- Baptism Church Name: Please enter valid data.
- Baptism Church City and State: Please enter valid data.
- A copy of my child's baptism certificate is already on file from a previous year's registration. REQUIRED Yes No Please fill out this field.
- If no: a copy of your child's Baptismal Certificate is required to complete your registration. Please provide a copy of the Baptismal Certificate by mail, hand-delivery, or by email to baptismals@olom.org.
- First Communion Yes No
- If your child has received First Communion, please list the year and the name of the Church where the Sacrament was received: Please enter valid data.
- Does your child have any medical alerts, learning differences, disabilities, or family situation you would like to share with us?
- Is this child in 2nd or 8th grade and preparing to receive a sacrament? Please select below.
- Sacrament You're Requesting for This Child 2nd Grader - First Communion 8th Grader - Confirmation

Emergency Contact & Personal Information

Name of Emergency Contact Please enter valid data.
Phone Number of Emergency Contact Maximum 20 characters Please enter a phone number.
Are you interested to serve as a volunteer in the RE program? Catechist Catechist aid occasionally in other ways

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 Agree Please select this field.

Registration Fees

Tuition for 1st Student160.0
Number of students after 1st Child Please enter an integer (number).
Cost per additional student50.0