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Parish Registration

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Welcome!

We're excited to have you join our parishes! Please complete the form below as completely as possible, and we'll be in touch when it's received. In addition to this demographic information, please complete our Time & Talent Survey as well to ensure you and your household are active disciples in Christ's church!

Time & Talent Suvey and Explanatians.
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- Family Name: REQUIRED Please fill out this field. Please enter valid data.
- Address: REQUIRED Please fill out this field. Please enter valid data.
- City/State/Zip: REQUIRED Please fill out this field. Please enter valid data.
- Home Phone: Please enter valid data.
- Name of Parish you are joining: St. Patrick, Colesburg St. Mark, Edgewood St. Joseph, Elkader St. Mary, Strawberry Point Sacred Heart, Volga
- Previous Parish Registration REQUIRED Please fill out this field. Please enter valid data.
- Has previous parish been notified of the move? REQUIRED Yes No Please fill out this field.
- Adult 1 Information
- First/Middle/Last Name: REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name: Please enter valid data.
- Cell Phone: Please enter valid data.
- Email Address: Please enter valid data.
- Birth Date: Please enter valid data.
- Birth Place: Please enter valid data.
- Baptism Date: Please enter valid data.
- Baptism Place: Please enter valid data.
- Marital Status: Please enter valid data.
- Marriage Date: Please enter valid data.
- Marriage Place: Please enter valid data.
- Occupation/Employer: Please enter valid data.
- Adult 2 Information
- First/Middle/Last Name: Please enter valid data.
- Maiden Name: Please enter valid data.
- Cell Phone: Please enter valid data.
- Email Address: Please enter valid data.
- Birth Date: Please enter valid data.
- Birth Place: Please enter valid data.
- Baptism Date: Please enter valid data.
- Baptism Place: Please enter valid data.
- Marital Status: Please enter valid data.
- Marriage Date: Please enter valid data.
- Marriage Place: Please enter valid data.
- Occupation/Employer: Please enter valid data.
- How many children do you have living at home? REQUIRED Please fill out this field.
  
  Child 1
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 2
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 3
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 4
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 5
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 6
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 7
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
  
  Child 8
  
  First/Middle/Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Baptism Date and Location Please enter valid data.
  
  First Communion and Location Please enter valid data.
  
  Confirmation and Location Please enter valid data.
Submit

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Don't forget your Time & Talent Survey!