Register - Our Lady Queen of Peace Church

Our Lady Queen of Peace Church

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WELCOME!!

Welcome to Our Lady Queen of Peace Parish Family!! To register you can print out and return this registration form or complete and submit the form below. Thank you for joining us!! We look forward to seeing you at Mass!!

Our Lady Queen of Peace Registration Form

* Indicates required field

FAMILY NAME *

ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

HOME PHONE *

CELL PHONE *

EMAIL *

DO YOU WISH TO RECEIVE ENVELOPES? *

Yes No

Head of Household Information

NAME *

First

Last

SACRAMENTS (PLEASE CHECK) *

Baptism Eucharist Penance (Confession) Confirmation

OCCUPATION/EMPLOYER *

SEX *

Male Female

DATE OF BIRTH *

RELIGION *

MARITAL STATUS *

Spouse Information

NAME *

First

Last

Maiden Name *

SACRAMENTS (PLEASE CHECK) *

Baptism Eucharist Penance/Confession Confirmation

OCCUPATION/EMPLOYER *

SEX *

Male Female

DATE OF BIRTH *

RELIGION *

MARITAL STATUS *

Children Information

NAME *

First

Last

DATE OF BIRTH *

Sex *

Male Female

SACRAMENTS (Please Check) *

Baptism Penance/Confession Communion Confirmation

SCHOOL NAME *

NAME *

First

Last

DATE OF BIRTH *

SEX *

Male Female

SACRAMENTS *

Baptism Penance/Confession Communion Confirmation

SCHOOL NAME *

NAME *

First

Last

DATE OF BIRTH *

SEX *

Male Female

SACRAMENTS *

Baptism Penance/Confession Communion Confirmation

SCHOOL NAME *

NAME *

First

Last

DATE OF BIRTH *

SEX *

Male Female

SACRAMENTS *

Baptism Penance/Confession Communion Confirmation

SCHOOL NAME *

If you have other adults in your household please have them register separately.

COMMENTS, QUESTIONS, OR ADDITIONAL INFORMATION: *

Submit

Sign up to give electronically

Our Lady Queen of Peace
10003 Bird River Rd
Middle River, MD 21220
410-686-3085
qpeace@archbalt.org
fax: 410-687-1916

Home
Give
About
Bulletin
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