Parish Registration Form
Welcome to our Church. Visit our web site at www.qopchurch.org for more information.
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Click Submit Form to send this information to Our Lady Queen Of Peace Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
ID/Env:  
Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name
  Relationship Maiden Name
*Birth Date
*Gender Female   Male Grade/Degree
*Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
*Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism Date Place
* Penance Date Place
* First Holy Communion Date Place
* Confirm Date Place
* Marriage Date Place
  Spouse
  Title Suffix
  First Name Last Name
  Middle Name
  Relationship Maiden Name
Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  Penance Received Date Place
  First Holy Communion Received Date Place
  Confirm Received Date Place
  Marriage Received Date Place
  Deceased Received Date Place
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible
  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name
  Relationship Maiden Name
Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
Sacraments
   Baptism Date Place
   Penance Date Place
   First Holy Communion Date Place
   Confirm Date Place
   Marriage Date Place
Click Submit Form to send this information to Our Lady Queen Of Peace Church.
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Our Lady Queen Of Peace Church