Parish Registration Request

We are excited to welcome you to our faith community!

Please use the form below (or click here to download a printable copy) to request a registration form or update your information for our records. Submission of this form will prompt us to mail you a copy of our registration form for all members of your family.

If you have questions or trouble with this process, please reach out to our office staff at 814.834.4701 or stop by the rectory. We are happy to help you!

Name of Husband

First Name

Last Name

Name of Wife

First Name

Last Name

First and Last Name(s) of Other Adult(s) in Household

First and Last Names of Child(ren) in Household

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Alternative Email Address

Home Address

Street 1

Street 2

City

State

Zip

Other Preferred Means of Communication? Please list here.

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?

Parish Registration Request

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