*

Welcome to Our Lady of Peace PREP Registration. Visit our web site at olpparish.org for
 more information, or contact our DRE, Mary Beinlich at Ourlady.Prep@gmail.com or contact
 Debbie Hanna at the rectory (610-532-8081) or at Debbiehannaolp@gmail.com.

Click Submit Form to send this information to The Parish of Our Lady of Peace Church.

*Required fields

Instructions PREP FEES ARE AS FOLLOWS:
1 student...$150.00
2 students..$200.00
3 or more students..$250.00
Payments can be made at 'Our Lady of Peace' rectory, 501 Belmont Ave, Milmont Park, PA 19033 in cash, check, or venmo 'Our Lady of Peace Parish @OurLadyofPeaceParish' sent with child's name (s) and 'Prep'.

Family Options  New Family  Update Existing Family

Head of Household
*Title *First Name *Last Name Suffix
*Relationship   Middle Name Maiden Name
Ethnicity   Birth Date *Gender
Grade/Degree   Language Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name Maiden Name
Ethnicity   Birth Date Gender
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
  Email 2   Unlisted

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

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

Enroll Student 1         Do Not Enroll Student 1
Student 1
*First Name *Last Name Suffix
*Relationship *Middle Name   Nickname
Ethnicity *Birth Date *Gender
*Grade/Degree   Language
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
*Baptism
   First Comm
*Class Choices
*Class 1
Student Remarks
  General Remarks
  Health Problems
  Other Conditions
  Remarks


Click Submit Form to send this information to The Parish of Our Lady of Peace Church.



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