Our Lady Of Good Counsel

1525 Waimano Home Rd., Pearl City, HI 96782

Phone: (808) 455-3012
Email: office@olgcchurchpc.org

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PARISH E-REGISTRATION

- CONTACT US
  - PARISH E-REGISTRATION

Please take a few moments to fill out our parish registration form. It is not necessary to fill out every field if you do not know the information. Thank you for your time and welcome to Our Lady of Good Counsel Parish.
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- Family Name:* REQUIRED
  Last Name of Family
  Please fill out this field. Please enter valid data.
- Physical Address: 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.
- Mailing Address (leave blank if same as above): Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Email Please enter an email address.
- Home Phone #:* REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Fax Phone #: Maximum 20 characters Please enter a phone number.
- Mobile Phone #: Maximum 20 characters Please enter a phone number.
- HUSBAND DATA
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth: Please enter a date.
- Religion: Please enter valid data.
- Baptism Date: Please enter a date.
- First Communion Date: Please enter a date.
- Confirmation Date: Please enter a date.
- Converted: Yes
- WIFE DATA
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth: Please enter a date.
- Religion: Please enter valid data.
- Baptism Date: Please enter a date.
- First Communion Date: Please enter a date.
- Confirmation Date: Please enter a date.
- Converted: Yes
- FIRST CHILD
- First Child Name: Please enter valid data.
- First Child Date of Birth: Please enter a date.
- First Child Religion: Please enter valid data.
- First Child School Attending: Please enter valid data.
- First Child Grade: Please enter valid data.
- SECOND CHILD
- Second Child Name: Please enter valid data.
- Second Child Date of Birth: Please enter a date.
- Second Child Religion: Please enter valid data.
- Second Child School Attending: Please enter valid data.
- Second Child Grade: Please enter valid data.
- OTHER COMMENTS:
- Do you want envelopes?:
- I Agree Please select this field.
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