Join Regina Coeli Parish

Thank you for using this online form to register.
Call the parish office at 412-766-6660 if you have any questions.

*********** This web page works better with JavaScript enabled. ***********

To see how to enable JavaScript, please visit https://www.enable-javascript.com/

Click Submit Form to send this information to Regina Coeli.

*Required fields

*Family Option	New Family Information	Update Existing Family Information ID/Env:

Head of Household
Title		Suffix
*First Name		*Last Name

*Relationship
		*Birth Date
*Gender
		*Marital Status

Family Street Address
*Line 1
Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary		( ) - Unlisted
Email
*Email		Unlisted

Member 1		Type
Title		Suffix
First Name		Last Name
Middle Name		Nickname
Relationship		Maiden Name
Ethnicity		Birth Date
Gender		Grade/Degree
Language		Marital Status

Click Submit Form to send this information to Regina Coeli.

↻

*Enter the characters shown in the image

Regina Coeli