Facebook YouTube Phone Instagram

Parish Registration

- Resources
  - At Our Parish
    
    Parish Registration
    
    Bulletins
    Live-streamed / Archived Mass Video
  - Follow Us
    
    Calendar
    News
    Photo Albums
    Download Our Parish App
  - Diocese
    
    Diocese of Sioux City
    The Lumen
  - USCCB
    
    United States Conference of Catholic Bishops
    Daily / Weekend Scripture Readings
    VIRTUS - Protecting God's Children
  - Around the Web
    
    Find Other Parish Mass Times
  - Become Catholic
    
    Rite of Christian Initiation for Adults (R.C.I.A.)

The maximum number of form submissions has been reached. This form is currently not available.
- 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.
- Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Would you like to receive offering envelopes? REQUIRED Yes No Please fill out this field.
- Please select the number of family members that are in your family that you wish to register in the option below. This will add additional spaces for more members at the end of this form, if necessary.
- Number of Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 2
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 3
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 4
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 5
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 6
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 7
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 8
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 9
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 10
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 11
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
  
  Family Member 12
  
  Family Member Last Name, First Name, Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters
  (If Different Than the Phone Number Entered Above)
  Please enter a phone number.
  
  Email Address Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Occupation Please enter valid data.
  
  Baptized? Yes No
  
  Baptized At: (Church Name and Location) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Received First Communion? Yes No
  
  Date of First Communion Please enter a date.
  
  Confirmed? Yes No
  
  Date of Confirmation Please enter a date.
  
  Marital Status
  
  Date of Marriage (if applicable) Please enter a date.
  
  Married with the permission of the Catholic Church? (if applicable) Yes No
  
  Maiden Name (if applicable) Please enter valid data.
  
  Denomination
  
  Converted to the Catholic Faith? Yes No
- Thank you again for your interest in St. Mary's Catholic Church. We are grateful for your interest in our parish, and we hope to meet you soon. God Bless!
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.