Registration

Please fill out once for each member of your household under the same Family Name.

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

First Name Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Gender Male Female

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.

Phone Number (Home) Please enter valid data.

Phone Number (Cell) Please enter valid data.

Preferred Phone Home Mobile

Email Address Please enter valid data.

Marital Status Single Married Divorced Annulled Widow Widower

Religion Please enter valid data.

Occupation Please enter valid data.

Willingness to volunteer your talents Yes No

Sacraments Received Baptism First Eucharist Confirmation Marriage Holy Orders

You have the option for giving on line. It is convenient and hassle-free, and you will also get a receipt. Please go to Faith Direct to do so.

How would you like to give?

Would you like to join Flock note? Yes No

If you have any questions you may contact SMM at 412-381-0212 or POP at 412-481-8380. If there are other skills, interests, or areas of expertise you have, please list them below

Registration

TO LEARN MORE ABOUT WHAT IT MEANS TO JOIN OUR PARISH CLICK HERE

Hard Copy Registration

Mary, Queen of Peace Parish