Parish Registration - St. Vincent Basilica

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Sacraments
Ministries
Faith Formation
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Donate
Contact
Parish Festival

Parish Registration

To register as a member, please complete the information below or select, “Download the Form Here.” Once completed, email the form to Maggie Mehalko at maggie.mehalko@stvincent.edu. Any questions, contact Maggie at the Parish Office at 724-539-8629, ext. 11.

Download The Form Here

Individual Information

Title(Required)

Mr. & Mrs.

Mr.

Mrs.

Ms.

Miss

Other

Individual's Name(Required)

First Last

Individual's Email(Required)

Individual's Address(Required)

Street Address Address Line 2 City State ZIP Code

Individual's Preferred Phone(Required)

Individual's Phone Type(Required)

Cell

Other

Individual's Alternate Phone

Individual's Phone Type

Cell

Other

Individual's Employer & Occupation(Required)

Date of Birth(Required)

Individual's Marital Status(Required)

Single

Married

Divorced

Widowed

Annulled

Separated

Married in the Catholic Church?(Required)

Yes

No

Do you have Children?(Required)

Yes

No

Spouse Information

Name(Required)

First Last

Email(Required)

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Spouse's Preferred Phone(Required)

Phone Type(Required)

Cell

Other

Alternate Phone

Phone Type

Cell

Other

Employer & Occupation(Required)

Children or Other Information

Children 23 and over are asked to register separately.

Name of Child 1(Required)

Gender(Required)

M

F

Date of Birth(Required)

Baptism(Required)

Yes

No

Communion(Required)

Yes

No

Confirmation(Required)

Yes

No

Name of Child 2

Gender

M

F

Date of Birth

Baptism

Yes

No

Communion

Yes

No

Confirmation

Yes

No

Name of Child 3

Gender

M

F

Date of Birth

Baptism

Yes

No

Communion

Yes

No

Confirmation

Yes

No

Name of Child 4

Gender

M

F

Date of Birth

Baptism

Yes

No

Communion

Yes

No

Confirmation

Yes

No

Name of Child 5

Gender

M

F

Date of Birth

Baptism

Yes

No

Communion

Yes

No

Confirmation

Yes

No

Additional Information

Would you like information regarding:

Baptism

First Communion

Confirmation

Marriage

Religious Education

OCIA (Initiation Ministry for Adults)

Giving Preference(Required)

Online Giving

Receive Envelopes

Would you like to receive the Catholic Accent?(Required)

Yes

No

General Information/areas interested in volunteering:

Subscribe for Updates

First Name

Last Name

Email

(724) 539-8629
lori.mirenzi@stvincent.edu
300 Fraser Purchase Rd., Latrobe, PA 15650

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Sacraments
Ministries
Faith Formation
About
Donate
Contact
Parish Festival
The Grove
Weddings

Sacraments
Ministries
Faith Formation
About
Donate
Contact
Parish Festival
The Grove
Weddings