Parish Registration 2024

Parish Registration Form
Please complete for ALL members of your household - spouse and children included
Family Last Name*
Primary language(s) spoken at home*
Please list secondary language, if applicable
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Family E-Mail*
Family Primary Phone Number*
Emergency Contact Name (Not in household)
Emergency Contact Relationship
Emergency Contact Phone Number
Do you wish to receive tithing envelopes or to give online?*
Previous Parish Name and State*

Member Information
Head of Household's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Maiden Name (if applicable)
Marital Status*
E-mail*
Occupation
Cell Phone*
Ethnicity
Sacramental Record Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

Member Information
2nd Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail*
Occupation
Cell Phone*
Ethnicity
Sacramental Record Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

Member Information
3rd Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail
Occupation
Cell Phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

4th Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail
Occupation
Cell Phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

5th Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail
Occupation
Cell Phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

6th Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital status*
E-mail
Occupation
Cell phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

7th Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail
Occupation
Cell Phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone
Would you like to register another family member?*

8th Member's Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Head of Household*
Maiden Name (if applicable)
Marital Status*
E-mail
Occupation
Cell Phone
Ethnicity
Sacramental Information
Gender*
Birth Date*

MonthDayYear
Religion*
Date of Marriage (if applicable)
Sacrament(s) Celebrated*

BaptismReconciliation1st CommunionConfirmationMarriageProfession of Faith (for Catholic Converts)Holy OrdersNone

Your registration is almost complete, but your journey at Prince of Peace is just beginning. A member of our staff will contact you soon to welcome you to the parish and provide additional church information. We are so happy to have you join our parish family!
WELCOME TO PRINCE OF PEACE CATHOLIC CHURCH IN FLOWERY BRANCH, GEORGIA!!
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Parish Registration Form