Facebook Phone YouTube Facebook

Parish Registration

- Resources

The maximum number of form submissions has been reached. This form is currently not available.
- Thank you for taking a moment to register your household's information.
  Please fill out the form as completely as possible.
- Residence
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field.
  
  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.
- Number of Adults in Household REQUIRED Please fill out this field.
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
  
  Adult 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 REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Marital Status REQUIRED Please fill out this field.
  
  Education Please enter valid data.
  
  Employer Please enter valid data.
  
  Work Phone (if available) Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Baptism Reconciliation First Communion Confirmation Matrimony Holy Orders Anointing of the Sick
- Children REQUIRED
  Leave blank if there are no children
  Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion Please enter valid data.
  
  Grade Please enter an integer (number).
  
  Sacraments Baptism Reconciliation First Communion Confirmation
  
  Special Needs
- Is this information: REQUIRED New member Update to current member Please fill out this field.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Our Lady Of The Valley Parish

Diocese of Pittsburgh, PA

Parish Registration