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New Parishioner Registration

- On Line Office

Welcome to our lady of peace!

We look forward to welcoming you as a member of our Catholic community.
The maximum number of form submissions has been reached. This form is currently not available.
- Head of Household
  
  Title
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Baptism Penance First Communion Confirmation
  
  Additional Information
  Please enter any additional information you would like to share. You can include dates of sacraments if they are known
- Number of Additional Family Members REQUIRED Please fill out this field.
  
  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 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 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 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 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 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 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 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 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 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 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 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 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
Submit

Our Lady of Peace

Shaker Square's Catholic Church
Rev. Gary Chmura, Pastor

New Parishioner Registration

Welcome to our lady of peace!