New Parishioner Registration

Family Member 1

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 2

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 3

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 4

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 5

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 6

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 7

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 8

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 9

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 10

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 11

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Family Member 12

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Head of Household REQUIRED Please fill out this field.
Gender REQUIRED Male Female Please fill out this field.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Sacraments Baptism Penance First Communion Confirmation
Additional Information on this Family Member
Please enter any additional information you would like to share, including sacramental dates if they are known

Welcome To Our Lady of Peace