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

Click Submit Form to send this information to Regina Coeli.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
*Relationship
*Birth Date *Gender
  Worship Site *Marital Status

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

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

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


Click Submit Form to send this information to Regina Coeli.

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