Thank you for using this form to join our parish.


 Please feel free to call the parish office at 412-766-6660 or email parish@assumptionchurch.org if you
 have any questions.

 Visit our web site at assumptionchurch.org for more information.

Click Submit Form to send this information to Church of the Assumption.

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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   Middle Name   Nickname Maiden Name
  Birth Date *Gender Female   Male
Grade/Degree Marital Status

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
  Birth Date   Gender Female   Male
Grade/Degree Marital Status

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

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
  Birth Date   Gender Female   Male
Grade/Degree Marital Status


Click Submit Form to send this information to Church of the Assumption.

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