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Saints Joachim and Anne Parish Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- Welcome! To register as a member of Saints Joachim and Anne Parish, please complete the form below, or contact the Parish Office at 412-751-0663 to request a Registration Form by U.S. mail.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Name Please enter valid data.
- Emergency Contact Phone Number Maximum 20 characters Please enter a phone number.
- Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Home Address REQUIRED Please fill out this field. 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.
- Household Makeup (check all that apply) REQUIRED Couple - No Children Family with Children in Household Couple with Children Outside of the Household Extended Family Living in the Household One Resident Other Please fill out this field.
- Preferred Prefix for Mail (select one) Mr. and Mrs. Mr. Miss Ms. Mrs. Dr.
- Indicate Your Marital Status Married Divorced Separated Single
- If Married, was the wedding witnessed by a Catholic Priest? Yes No
- Date of Wedding Please enter valid data.
- Place of Marriage
  Name of Church, City & State
  Please enter valid data.
- If Divorced, was the marriage annuled? Yes No
- If Yes, Date of Annulment Please enter valid data.
- Auto-Reply Email
  Enter your email address if you would like to be notified when we receive your registration form.
  Please enter an email address.
- Family Members in Household
  
  Please include head of household, spouse, and all children who are currently enrolled in school (including college) or who are under the age of 22. Any adult, 23 or older, who resides in the household, should submit his/her own Registration Form.
  
  Please list any homebound/disabled individuals who reside in the household.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
- Number of Additional Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
  
  Family Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex Male Female
  
  Religion (Roman Catholic, Byzantine, Lutheran, Presbyterian, Baptist, etc.) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Place of Baptism
  Name of Church, City & State
  Please enter valid data.
  
  Date of First Holy Communion Please enter valid data.
  
  Place of First Holy Communion
  Name of Church, City & State
  Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Place of Confirmation
  Name of Church, City & State
  Please enter valid data.
  
  Please indicate any ministries of interest (e.g. Lector, Eucharistic Minister, Altar Server, etc.)
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SAINTS JOACHIM AND ANNE PARISH
ANNE PARISH

Catholic Churches in the Diocese of Pittsburgh

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Saints Joachim and Anne Parish Registration Form