St. Patrick Parish Registration for Families

Today's Date REQUIRED Please fill out this field. Please enter a date.

Family Name Please enter valid data.

Address 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.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Marital Status

Marriage Date, Church, City, State Please enter valid data.

What inspired you to register with our parish? Please enter valid data.

Which Mass time will you most likely attend?

Adults REQUIRED Please fill out this field.
Adult 1
- Name (Include Maiden Name if applicable) Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Received the following Sacraments: Baptized 1st Communion Confirmation
- Occupation Please enter valid data.
- Place of Employment Please enter valid data.
- Religion
- Please check all of the areas that you are interested in participating in at the parish or interested in receiving more information.
- Liturgy Lector Usher Organist Choir Guitarist Song Leader Eucharistic Minister Church Decorating Server Cross Bearer Minister of Hospitality Sacristan Other
- If other, please describe: Please enter valid data.
- Education Religious Education Teacher (1-6) Religious Education Teacher (7-10) RCIA Parents of Young Children Youth Ministry Committee
- Service/Committees Pastoral Council Faith Formation Committee Social Justice Committee Liturgy Committee Parish Life Committee Visit the Sick and Elderly Transporting people to church
- Spiritual Renewal CEW Christian Experience Weekend Marriage Encounter Share the Sunday Scripture Readings Renew/Prayer Group Retreats Renew
Adult 2
- Name (Include Maiden Name if applicable) Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Received the following Sacraments: Baptized 1st Communion Confirmation
- Occupation Please enter valid data.
- Place of Employment Please enter valid data.
- Religion
- Please check all of the areas that you are interested in participating in at the parish or interested in receiving more information.
- Liturgy Lector Usher Organist Choir Guitarist Song Leader Eucharistic Minister Church Decorating Server Cross Bearer Minister of Hospitality Sacristan Other
- If other, please describe: Please enter valid data.
- Education Religious Education Teacher (1-6) Religious Education Teacher (7-10) RCIA Parents of Young Children Youth Ministry Committee
- Service/Committees Pastoral Council Faith Formation Committee Social Justice Committee Liturgy Committee Parish Life Committee Visit the Sick and Elderly Transporting people to church
- Spiritual Renewal CEW Christian Experience Weekend Marriage Encounter Share the Sunday Scripture Readings Renew/Prayer Group Retreats Renew
Adult 3
- Name (Include Maiden Name if applicable) Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Received the following Sacraments: Baptized 1st Communion Confirmation
- Occupation Please enter valid data.
- Place of Employment Please enter valid data.
- Religion
- Please check all of the areas that you are interested in participating in at the parish or interested in receiving more information.
- Liturgy Lector Usher Organist Choir Guitarist Song Leader Eucharistic Minister Church Decorating Server Cross Bearer Minister of Hospitality Sacristan Other
- If other, please describe: Please enter valid data.
- Education Religious Education Teacher (1-6) Religious Education Teacher (7-10) RCIA Parents of Young Children Youth Ministry Committee
- Service/Committees Pastoral Council Faith Formation Committee Social Justice Committee Liturgy Committee Parish Life Committee Visit the Sick and Elderly Transporting people to church
- Spiritual Renewal CEW Christian Experience Weekend Marriage Encounter Share the Sunday Scripture Readings Renew/Prayer Group Retreats Renew
Adult 4
- Name (Include Maiden Name if applicable) Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Received the following Sacraments: Baptized 1st Communion Confirmation
- Occupation Please enter valid data.
- Place of Employment Please enter valid data.
- Religion
- Please check all of the areas that you are interested in participating in at the parish or interested in receiving more information.
- Liturgy Lector Usher Organist Choir Guitarist Song Leader Eucharistic Minister Church Decorating Server Cross Bearer Minister of Hospitality Sacristan Other
- If other, please describe: Please enter valid data.
- Education Religious Education Teacher (1-6) Religious Education Teacher (7-10) RCIA Parents of Young Children Youth Ministry Committee
- Service/Committees Pastoral Council Faith Formation Committee Social Justice Committee Liturgy Committee Parish Life Committee Visit the Sick and Elderly Transporting people to church
- Spiritual Renewal CEW Christian Experience Weekend Marriage Encounter Share the Sunday Scripture Readings Renew/Prayer Group Retreats Renew

General Comments or Questions

To avoid fake account registrations, please answer the following: What is 2 + 2? REQUIRED Please fill out this field. Please enter valid data.

Cathedral of St. Raphael &
St. Patrick Church

Dubuque, IA

St. Patrick Parish Registration for Families