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Parish Registration

- About

Below are several member information forms. If additional are needed, please submit the first form and start a second with the additional names. If you have any questions, please feel free to contact the parish office.
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- 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. Please enter valid data.
- Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Home Phone REQUIRED Please fill out this field. Please enter a phone number.
- Email Please enter valid data.
- #1 Family Member Information
  
  Last Name, First Name, Middle Initial REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship REQUIRED
  I.E. Mother, Father, Son, Daughter, etc.
  Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
- #2 Family Member Information
  
  Last Name, First Name, Middle Initial REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship
  I.E. Mother, Father, Son, Daughter, etc.
  Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
- #3 Family Member Information
  
  Last Name, First Name, Middle Initial Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship
  I.E. Mother, Father, Son, Daughter, etc.
  Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
- #4 Family Member Information
  
  Last Name, First Name, Middle Initial Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship
  I.E. Mother, Father, Son, Daughter, etc.
  Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
- #5 Family Member Information
  
  Last Name, First Name, Middle Initial Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship
  I.E. Mother, Father, Son, Daughter, etc.
  Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
- #6 Family Member Information
  
  Last Name, First Name, Middle Initial Please enter valid data.
  
  Nickname (If Applicable) Please enter valid data.
  
  Family Relationship
  I.E. Mother, Father, Son, Daughter, etc.
  Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Mailing List Yes No
  
  Nationality
  
  Language
  
  Date of Birth Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name) Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Received 1st Communion? Yes No
  
  Date of First Communion Please enter valid data.
  
  Confirmed? Yes No
  
  Date Confirmed Please enter valid data.
  
  Marital Status
  
  Date of Marriage Please enter valid data.
  
  Married by a Priest? Yes No
  
  Maiden Name Please enter valid data.
  
  Denomination
  
  Converted Yes No
  
  Housebound? (Shut In) Yes No
  
  Request Home Visit? Yes No
  
  Location of Home Visit Please enter valid data.
  
  Receiving Communion? Yes No
  
  Name of School Attending or School Last Attended Please enter valid data.
  
  Level of Education
  
  Church Attendance
Submit

St. Joseph Catholic Church

1305 Okoboji Avenue | Milford, Iowa 51351

Parish Registration