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- General Information
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 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 an integer (number).
  
  Home Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Home Email Please enter an email address.
  
  School District Please enter valid data.
  
  Contribution Envelope REQUIRED Yes No Please fill out this field.
- Permission to publish in parish directory
  
  phone? REQUIRED Yes No Please fill out this field.
  
  address? REQUIRED Yes No Please fill out this field.
  
  email? REQUIRED Yes No Please fill out this field.
- 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
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Work email Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
- Sacraments Checked Above REQUIRED Please fill out this field.
  
  Sacrament 1
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 2
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 3
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 4
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 5
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 6
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
  
  Sacrament 7
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information if Necessary REQUIRED Please fill out this field.
- Spouse [if any]
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Work email Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
- Sacraments Checked Above REQUIRED Please fill out this field.
  
  Sacrament 1
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 2
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 3
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 4
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 5
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 6
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament 7
  
  Sacrament Completed REQUIRED Please fill out this field.
  
  Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  Prep Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Sacrament Completed In REQUIRED Please fill out this field. Please enter valid data.
- Celebrant REQUIRED Please fill out this field. Please enter valid data.
- Sponsor or Godparent(s) if Applicable REQUIRED Please fill out this field. Please enter valid data.
- Other Necessary Information REQUIRED Please fill out this field.
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 11
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 12
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 13
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 14
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
  
  Child 15
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Do They Attend CTK School REQUIRED Yes No Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments REQUIRED Baptism First Reconciliation First Communion Confirmation Marriage Anointing of the Sick Holy Orders Please fill out this field.
  
  Sacrament Information REQUIRED
  Please provide the following information for each sacrament completed:, Date of Sacrament, Prep Year, Parish Sacrament Completed In, Celebrant, Sponsor or Godparent(s) if applicable, any other information
  Please fill out this field.
Submit

Christ the King Catholic Church

5711 SW 9th / Office: 820 Porter Ave.
Des Moines, IA 50315

Parish Registration