Join our Parish

Family/Last Name Please enter valid data.

Address 1 REQUIRED Please fill out this field. Please enter valid data.

Address 2 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 Please enter a phone number.

Cell Phone Please enter a phone number.

Email Please enter an email address.

Marital Status

Wife's Maiden Name Please enter valid data.

Marriage Date and Church Please enter valid data.

Parish Where Previously Registered Please enter valid data.

# of Family Members REQUIRED Please fill out this field.
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly
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.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth Please enter valid data.
- Religion Catholic Protestant Other
- If Not Catholic, Specify Religious Affiliation Please enter valid data.
- Sacraments Received
  (Please specify date, name of church and location of church)
- Baptism Yes No
- Baptism Date and Church Please enter valid data.
- Profession of Faith Yes No
- Profession Date and Church Please enter valid data.
- Communion Yes No
- Communion Date and Church Please enter valid data.
- Confirmation Yes No
- Confirmation Date and Church Please enter valid data.
- Occupation and/or Current School & Grade Please enter valid data.
- Attends Mass Regularly Irregularly

Saint Edward Church 450 Walnut Street Blawnox, PA 15238 412-828-4066	Saint Joseph Church Administrative Center 342 Dorseyville Road Pittsburgh, PA 15215 412-963-8885	Madonna of Jerusalem Church 201 9th Street Sharpsburg, PA 15215 412-784-8700	Saint Mary Church 210 Garnier Street Sharpsburg, PA 15215 412-784-8700	Saint Scholastica Church 309 Brilliant Avenue Aspinwall, PA 15215 412-781-0186
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