Our Lady Queen of Peace Parish
Registration and Census Update Form


This registration form is provided for your convenience.  It can be used to submit a new registration, or to update your family's current information.  Please fill out the information on this form as completely as possible.  Thank you for helping us keep our parishioner information current.




    
    
    




Employer:

                           
        
    



                           
        
    







Dependent 1 Dependent 2 Dependent 3
Name
Date of Birth
Gender
Employer/School
Occupation/Grade Level
Religion
Dependent 4 Dependent 5 Dependent 6
Name
Date of Birth
Gender
Employer/School
Occupation/Grade Level
Religion





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