All Saints Catholic Church - Cedar Rapids, Iowa

All Saints School | Archdiocese of Dubuque

Welcome to All Saints Catholic Parish!

Registration Form - Every effort is made to keep your information Confidential!

Family Last Name* :
Street Address* :
City* :		Zip Code* :
Phone Numer (with area code)* :		Email Address* :
Special Needs (Homebound Communion, Home Visits,etc
Head of Household
First Name :		Date of Birth (MM/DD/YYYY)
Religion :		Baptized :	Yes No
Marital Status :	Married Single Divorced Widowed Seperated Cohabitating	If Married: Place of Marriage
Priest or Deacon Present at wedding?	Yes No	Confirmed :	Yes No
Occupation :		Name of Employer
Spouse
First Name :		Maiden Name :
Date of Birth		Religion :
Baptized :	Yes No	Confrimed :	Yes No
Occupation :		Name of Employer :
Child #1
Name (first and last) :		At Home :	Yes No
Date of Birth		Baptized :	Yes No
1st Communion	Yes No	Confirmed :	Yes No
Name of School		Grade :	Preschool Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 College
Child #2
Name (first and last) :		At Home :	Yes No
Date of Birth		Baptized :	Yes No
1st Communion	Yes No	Confirmed :	Yes No
Name of School		Grade :	Preschool Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 College
Child #3
Name (first and last) :		At Home :	Yes No
Date of Birth		Baptized :	Yes No
1st Communion	Yes No	Confirmed :	Yes No
Name of School		Grade :	Preschool Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 College
Child #4
Name (first and last) :		At Home :	Yes No
Date of Birth		Baptized :	Yes No
1st Communion	Yes No	Confirmed :	Yes No
Name of School		Grade :	Preschool Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 College

* Denotes a required field. If an error message is received, please check that all required fields are filled in,

You will be redirected to the Newcomers page after submitting this form. Thank you and we look forward to seeing you soon!

 

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