Facebook Flocknote Email Phone Instagram

New Parishioner Registration Form

- Welcome
  - Become a Member
    
    New Parishioner Registration Form
  - Communications
    
    Bulletins
    Sign up for Flocknote
  - Our Churches
    
    About Saint Raphael
    About Sacred Heart
  - About Us
    
    Clergy Team
    Staff
    Pastoral Council
    Safe Environment
    Links of Interest

New Parishioner Registration

Welcome to Saint Jude Parish! We are excited to welcome you into the family. In order to register as a new parishioner, please provide the following confidential information. Tab through the fields and once all of the required information is complete, click on the Submit button. Please complete for all members of your household. Once you submit your form, you will have to meet with one of the clergy or parish staff for an initial meeting. If you have any questions, please contact the parish office at 412-661-0187, ext 200.

Thank you and welcome to Saint Jude!
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Preferred way to address mail REQUIRED Please fill out this field.
  
  Street 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Interested in donating online? REQUIRED Yes, please send me more information about Faith Direct No, please send me collection envelopes Please fill out this field.
  
  Interested in learning more about the parish ministries (i.e lector, young adult, ladies of charity) REQUIRED Yes No Please fill out this field.
  
  Reason for Joining the Parish REQUIRED Please fill out this field.
- Head of Household (Adult #1) Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place and Date of Marriage (if applicable) Please enter valid data.
  
  Occupation/Trade Skills Please enter valid data.
  
  Baptized? REQUIRED Please fill out this field.
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion? REQUIRED Please fill out this field.
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation? REQUIRED Please fill out this field.
  
  If yes, place and date of confirmation Please enter valid data.
  
  Attending Mass REQUIRED Please fill out this field.
- Adult Member #2 Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate
  MM/DD/YYYY
  Please enter a date.
  
  Sex
  
  Occupation/Trade Skills Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Attending Mass
- Number of Children REQUIRED Please fill out this field.
  
  Child Information (17 years and younger) 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Child Information (17 years and younger) 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Child Information (17 years and younger) 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Child Information (17 years and younger) 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Child Information (17 years and younger) 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
  
  Child Information (17 years and younger) 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Sex
  
  Relationship
  
  Grade/School Please enter valid data.
  
  Baptized?
  
  If yes, place and date of baptism Please enter valid data.
  
  First Communion?
  
  If yes, place and date of first communion Please enter valid data.
  
  Confirmation?
  
  If yes, place and date of confirmation Please enter valid data.
- Additional Comments Please enter valid data.
Submit

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

Saint Raphael Church 1154 Chislett Street, Pittsburgh, PA 15206	Sacred Heart Church 310 Shady Ave, Pittsburgh, PA 15206
Phone: 412 661-0187 *	[email protected]