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New Parishioner Registration

- About

Welcome to St. Patrick Catholic Church!

Registering in a church is more than “signing up,” it is a choice you’ve made to belong to a community with which you will be praying, celebrating, and growing in faith with. It is an exceptional blessing to have you join our church family and we look forward to getting to know you and work with you in God’s vineyard.

We are thrilled to welcome you to our community, striving to shepherd seekers to Heaven. Thank you for joining us on this mission. In order to stay in contact with you and get to know you we ask that you fill out this form. If you have questions, please let the office know by contacting 319.362.7966.
The maximum number of form submissions has been reached. This form is currently not available.
- Primary Adult (Adult 1)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Adult 1 has Received (select all that apply) REQUIRED
  Please select all Sacraments that you have received.
  Baptism Reconciliation/Confession Eucharist Confirmation Matrimony/Marriage Holy Orders Please fill out this field.
- Spouse/Second Adult (if applicable)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Date of Birth Please enter valid data.
  
  Sacraments Adult 2 has Received (select all that apply) REQUIRED
  Please select all Sacraments that you have received.
  Baptism Reconciliation/Confession Eucharist Confirmation Matrimony/Marriage Holy Orders Please fill out this field.
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 2
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 3
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 4
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 5
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 6
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 7
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 8
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 9
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 10
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 11
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
  
  Child 12
  
  Child's name, [comma] date of birth (mm/dd/yyyy), Sacraments received REQUIRED
  Please insert the name, comma, then date of birth
  Please fill out this field. Please enter valid data.
- Family Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Tell us a little bit about you and your family! REQUIRED Please fill out this field.
- How did you hear about St. Patrick Catholic Church? REQUIRED Please fill out this field.
- In what ways would you be interested in getting involved in the community? REQUIRED Please fill out this field.
- By clicking "I Agree," you grant St. Patrick permission to add your (and your spouse's, if applicable) email address and phone number to our Flocknote communication platform that the church utilizes to send infrequent texts (cancelations, closings, delays, etc.) and emails (information regarding upcoming events, parish outreach, etc.).
  Regular text messaging rates apply. Unsubscribe at any time.
  I Agree Please select this field.
Submit

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