Register as a New Parishioner with MOQ

Date of Registration*

Are you transferring from another parish in the Archdiocese of Atlanta?*

Yes
No

If yes, Name of previous Parish*

Name*

First Middle Last

Preferred to be called (optional)

Gender*

Date of Birth*

Home Phone*

Mobile Phone

Primary Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Secondary Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Email*

Secondary Email

Occupation*

Employer

Are you Roman Catholic?*

Yes
No

Would you like to be included in the Online Parish Directory?*

Yes
No

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

I would like to contribute my weekly offertory the following way:*

Through Offertory Envelopes provided to me
By Setting up my Offertory Online through the MOQ website

Marital Status*

Spouse Information*

First Middle Last

What is your Anniversary Date? (optional)*

Married by a Priest or Deacon?*

Yes
No

What is your Gender*

Date of Birth*

Personal Phone

Personal Email

Are you Roman Catholic?*

Yes
No

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

Occupation*

Employer

Dependents

Number of Children Living in Household*

Name of Child #1*

First Middle Last

Gender*

Date of Birth*

School Attended/Grade*

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

Parish of Baptism and Date*

Do you have a 2nd child to register?

Yes
No

Name of Child #2*

First Middle Last

Gender*

Date of Birth*

School Attended/Grade*

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

Parish of Baptism and Date*

Do you have a 3rd child to register?

Yes
No

Name of Child #3*

First Middle Last

Gender*

Date of Birth*

School Attended/Grade*

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

Parish of Baptism and Date*

Do you have a 4th child to register?

Yes
No

Name of Child #4*

First Middle Last

Gender*

Date of Birth*

School Attended/Grade

Sacramental Information – Check all that apply*

Baptized
Reconciliation
First Eucharist
Confirmed
RCIA
None

Parish of Baptism and Date*

Emergency Contact

Name

First Last

Relationship

(neighbor, friend, grandparent, etc.)

Emergency Contact's Phone Number

Additional Information

Do you wish to receive the Georgia Bulletin, the Biweekly official newspaper of the Archdiocese of Atlanta, at your home?*

Yes
No

Permission to publish in Parish Directory*

Home Phone
Home Address
Primary Email
Secondary Email

Volunteer for Ministries

Please consider getting involved in MOQ's ministries. Please select the Ministries you might be interested in below.

Please let us know how we can help you.

Register as a New Parishioner with MOQ

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