New Member Registration Home / New Member Registration St. Joan of Arc Parish Registration Online parish registration for St. Joan of Arc Parish, Bettendorf, Iowa. 1Household2Adults3Marriage4Children & Household5Communication & Connection PhoneThis field is for validation purposes and should be left unchanged.Usual Worship CampusWe are one parish with two campuses, and you are always welcome at either. This simply helps us know where your household expects to worship most often.Which campus do you expect to worship at most often?(Required) Lourdes Campus Vianney Campus Household InformationFamily Last Name(Required)Primary Phone(Required)Primary Email(Required) Street Address(Required)City(Required)State(Required)ZIP(Required)Previous ParishPrevious Parish City / StateReason for joining Moved to area Job transfer Other Other reason for joining Adult 1Adult 1 – First Name(Required)Adult 1 – Preferred NameAdult 1 – Middle NameAdult 1 – Last Name(Required)Adult 1 – Birthdate(Required) Adult 1 – Gender(Required) M F Adult 1 – Phone(Required)Adult 1 – Email(Required) Adult 1 – OccupationAdult 1 – EmployerAdult 1 – Religion(Required) Catholic Other Adult 1 – Other ReligionAdult 1 – Baptized(Required) Yes No Adult 1 – First Communion(Required) Yes No Adult 1 – Confirmed(Required) Yes No Adult 1 – Marital Status(Required) Single Married Separated Divorced Widowed Adult 1 – Maiden / Former Last Name (if applicable)Is there a second adult in the household?(Required) Yes No Adult 2Adult 2 – First NameAdult 2 – Preferred NameAdult 2 – Middle NameAdult 2 – Last NameAdult 2 – Birthdate Adult 2 – Gender M F Adult 2 – PhoneAdult 2 – Email Adult 2 – OccupationAdult 2 – EmployerAdult 2 – Religion Catholic Other Adult 2 – Other ReligionAdult 2 – Baptized Yes No Adult 2 – First Communion Yes No Adult 2 – Confirmed Yes No Adult 2 – Marital Status Single Married Separated Divorced Widowed Adult 2 – Maiden / Former Last Name (if applicable) Marriage Information (if applicable)Wedding Date Place of MarriageMarried in a Catholic ceremony or with a Catholic dispensation? Yes No Would you like information about having your marriage validated in the Church? Yes No Additional information you would like us to know Children / Other Household MembersList children and other dependents living in the household.How many children or other dependents live in your household?(Required)012345Child / Household Member 1Member 1 – NameMember 1 – Birthdate Member 1 – Gender M F Member 1 – Baptism Date Member 1 – Baptism Church / City-StateMember 1 – Sacraments Received Reconciliation First Communion Confirmation Child / Household Member 2Member 2 – NameMember 2 – Birthdate Member 2 – Gender M F Member 2 – Baptism Date Member 2 – Baptism Church / City-StateMember 2 – Sacraments Received Reconciliation First Communion Confirmation Child / Household Member 3Member 3 – NameMember 3 – Birthdate Member 3 – Gender M F Member 3 – Baptism Date Member 3 – Baptism Church / City-StateMember 3 – Sacraments Received Reconciliation First Communion Confirmation Child / Household Member 4Member 4 – NameMember 4 – Birthdate Member 4 – Gender M F Member 4 – Baptism Date Member 4 – Baptism Church / City-StateMember 4 – Sacraments Received Reconciliation First Communion Confirmation Child / Household Member 5Member 5 – NameMember 5 – Birthdate Member 5 – Gender M F Member 5 – Baptism Date Member 5 – Baptism Church / City-StateMember 5 – Sacraments Received Reconciliation First Communion Confirmation Communication & GivingWeekly parish news by email/text? Yes No Weekly tithing envelopes? Yes No Email for parish communications Information about online giving? Yes No Cell for text messagesList household in bulletin as newly registered? Yes No Preferred contact Email Text Phone Use parish-event photos in parish communications? Yes No Ways We Can Help You ConnectCheck any areas you or someone in your household may be interested in. This is not a commitment; a parish staff member or ministry leader may follow up with more information.Areas of Interest Adult Faith Formation Hospitality / Welcome Faith Formation / Religious Education Youth Ministry Children’s Liturgy Lector Eucharistic Minister Choir / Music Parish Outreach Parish Leadership St. Joan of Arc Catholic School Learn more about Catholic faith Other Other area of interest
