Ss. John and Paul Parish

1401 1st. Ave. S., Altoona, IA. 50009

Facebook Twitter

Registration Form-Online

- About Us
  - Parish Registration
    
    Are You New to the Parish?
    Registration Form-Online
    
    Gifts of Ministry-Online
  - Councils/Committees
    
    Council for Catechesis
    Finance Council
    Hospitality Committee
    Liturgical Environment Committee
    Parish Life Committee
    Parish Social Ministry
    Pastoral Council
  - Parish Groups
    
    Funeral Luncheons
    Knights of Columbus
    Life After Fifty
    Prayer Shawl Ministry
    Playgroup
    St. Vincent De Paul
  - Partner Organizations
    
    Altoona Kids Cafe
    Caring Hands Outreach
    Family Promise
    Habitat for Humanity
    Prison Ministry
  - Parish Events
    
    40th Anniversary of the Pope's Visit with Mary Ann Simcoe
    Celebrate the Season
    Fall Gala Raffle Winners & Results
    K of C Breakfast
    Mary Davis Memorial Blood Drive
    Presence Under the Christmas Tree
  - Contact Staff
  - Employment Opportunities
  - Directions/Map
  - Mission Statement
  - Cancellation Policy

Please note that any form that has an asterisk (*) by it is required. If there is no information to be put in a required field, enter n/a in the field. The form will not submit unless you do so.
The maximum number of form submissions has been reached. This form is currently not available.
- Please fill out all the fields.
- Household
  
  Household Last Name REQUIRED
  Please Submit Last Name
  Please fill out this field. Please enter valid data.
  
  Address REQUIRED
  Please Submit Address
  Please fill out this field. Please enter valid data.
  
  City REQUIRED
  Please Submit City
  Please fill out this field. Please enter valid data.
  
  State REQUIRED
  State Please Submit State
  Please fill out this field.
  
  Zip Code REQUIRED
  Please fill in zip code
  Please fill out this field. Please enter valid data.
  
  Primary Phone
  Enter your primary phone number
  Please enter valid data.
  
  Email Address
  Please Submit Email Address
  Please enter valid data.
  
  * In the bulletin, is it OK to print your Family Name REQUIRED Please fill out this field.
- Marriage Status
  
  Marital Status REQUIRED
  Marital Status Please Submit Marital Status
  Please fill out this field.
  
  Date of Marriage
  If married please submit
  Please enter valid data.
  
  Wife's Maiden Name
  Please submit
  Please enter valid data.
- Adult Male
  
  Adult Male First Name (include last name if different than household name) REQUIRED
  Please submit adult first name. Include last name if different than Household Name.
  Please fill out this field. Please enter valid data.
  
  Nickname
  Please fill in nickname
  Please enter valid data.
  
  Date of Birth REQUIRED
  Month/Day/Year
  Please fill out this field. Please enter valid data.
  
  Employment
  Please complete name of employer.
  Please enter valid data.
  
  Job Title
  Please fill in job title
  Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone REQUIRED
  Please Submit Cell Phone
  Please fill out this field. Please enter valid data.
  
  Work Phone
  Please Submit Work Phone
  Please enter valid data.
  
  Email
  Please Submit Email
  Please enter valid data.
- Adult Female
  
  Adult Female First Name (include last name if different than household name) REQUIRED
  Please submit adult first name. Include last name if different than household name.
  Please fill out this field. Please enter valid data.
  
  Nickname
  Please fill in nickname
  Please enter valid data.
  
  Date of Birth REQUIRED
  Month/Day/Year
  Please fill out this field. Please enter valid data.
  
  Employment
  Please complete name of employer.
  Please enter valid data.
  
  Job Title
  Please fill in job title
  Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone REQUIRED
  Please Submit Cell Phone
  Please fill out this field. Please enter valid data.
  
  Work Phone
  Please Submit Work Phone
  Please enter valid data.
  
  Email
  Please Submit Email
  Please enter valid data.
- Children Living in the Home
  
  Dependent children living in the household. May include college students away at school who reside in the household outside of the school year.
  
  Child's Name (include last name if different from household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
- Child 2
  
  Child's Name (include last name if different from household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
- Child 3
  
  Child's Name (include last name if different than household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
- Child 4
  
  Child's Name (include last name if different than household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
- Child 5
  
  Child's Name (include last name if different than household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
- Child 6
  
  Child's Name (include last name if different than household name)
  If Child's last name is different please put first and last
  Please enter valid data.
  
  M/F
  M/F Please Submit M/F
  
  Birthdate
  Please Submit Birthday
  Please enter valid data.
  
  Baptized?
  Baptized? Please Submit Answer
  
  School Attending and Grade Level
  Please Submit School and Grade
  Please enter valid data.
  
  Describe Extent of Rel. Ed
  Describe Extent of Rel. Ed
  Please enter valid data.
  
  Additional Information
  Include any pertinent information about your household that you would like to share.
  Please enter valid data.
Submit

Registration Form-Online

Please note that any form that has an asterisk (*) by it is required. If there is no information to be put in a required field, enter n/a in the field. The form will not submit unless you do so.

Please note that any form that has an asterisk () by it is required. If there is no information to be put in a required field, enter n/a* in the field. The form will not submit unless you do so.