Diocese of Sioux City (NW Iowa)
Father Bill McCarthy, Pastor

Parish Registration

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  - Parish Registration

Please complete the following form to register in one of our parishes. If you have not heard back from me within a few days of the form submission, please contact the parish office and they will put you in contact with me. Thank you,

Fr. Bill McCarthy
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- Parish You Wish to Register With REQUIRED Please fill out this field.
- 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.
- Zip REQUIRED Please fill out this field. Please enter an integer (number).
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Head of Household
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
- Spouse [if any]
  
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  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
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  State of Baptism
  
  Occupation Please enter valid data.
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
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  Sacraments Received
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  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
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  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
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The Faith Communities of
Remsen - Marcus - Oyens

Roman Catholic Church

Parish Registration