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St. Patrick Catholic Church
Dixon, IL
Welcome to St. Patrick Catholic Church in Dixon, IL.
Register Here
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Home
About Us
Our History
Our Staff
Register Here
St. Mary School
Church Campus
Contact Us
Adoration Chapel
Newman High School
Diocese of Rockford
Sacraments
Sacraments of Initiation
Baptism
Eucharist
Confirmation
Sacraments of Healing
Reconciliation
Anointing of the Sick
Sacraments of Service
Matrimony
Holy Orders
Liturgy
Liturgical Schedule
Mass Times
Find a Mass
Funerals
Funerals
Ministries
Ministries
Art & Environment
Loaves & Fishes
Ministry of Compassion
Music
RCIA
Religious Education
Church Cleaning
Groups
Catholic Women's Club
NAIM
Respect Life Group
Connect
Events
News
Calendar
Bulletins
Parish Registration
This form is not accepting responses at this time.
New parishioners are welcomed and informed of the many activities and events that are part of our parish life. Please fill out the form below, or alternatively print out the
parish registration form
and submit it to the parish office.
Basic Information
The information on this page concerns you and your family as a whole. If you have other family members, you will be answering for them on the following pages.
First Name
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Please enter valid data.
Last Name
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Your Gender
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Male
Female
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Your Date of Birth
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Please enter a date.
Your Email
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Please enter an email address.
Your Home Phone Number
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Maximum 20 characters
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Please enter a phone number.
Your Cell Phone Number
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Please enter a phone number.
Address
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Please enter valid data.
Your Occupation
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Please enter valid data.
Your Religion
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Catholic
None
Other
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If other, what religion?
Please enter valid data.
Marital Status
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Single
Married
Divorced
Widowed
Religious Life
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Number of Children
REQUIRED
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Please enter an integer (number).
Sacraments
Please tell us, to the best of your knowledge, when and where you received the following sacraments...
Your Baptism Date
Please enter a date.
Baptism Location
Please enter valid data.
Your 1st Reconciliation
Please enter valid data.
1st Reconciliation Location
Please enter valid data.
Your 1st Holy Communion
Please enter valid data.
Your 1st Holy Communion Location
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Your Confirmation
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Your Confirmation Location
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Spouse Information
If you do not have a spouse you may skip this section.
Spouse's Name
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Spouse's Gender
Male
Female
Spouse's Date of Birth
Please enter a date.
Spouse's Email
If your family shares an email, you may leave this blank.
Please enter an email address.
Spouse's Cell Number
Maximum 20 characters
Please enter a phone number.
Spouse's Religion
Catholic
None
Other
Sacraments
Please tell us, to the best of your knowledge, when and where your spouse received each of the following sacraments...
Spouse's Baptism
Please enter valid data.
Baptism Location
Please enter valid data.
Spouse's 1st Reconciliation
Please enter valid data.
Spouse's 1st Reconciliation Location
Please enter valid data.
Spouse's 1st Holy Communion
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Spouse's 1st Holy Communion Location
Please enter valid data.
Spouse's Confirmation
Please enter valid data.
Spouse's Confirmation Location
Please enter valid data.
Child Information
Please fill out this field.
Child 1
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 2
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 3
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 4
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 5
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 6
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 7
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 8
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 9
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Child 10
Child Name
Please enter valid data.
Gender
Male
Female
Date of Birth
Please enter a date.
Sacraments
Please tell us, to the best of your knowledge, when and where your children received the following sacraments...
Child's Baptism
Please enter valid data.
Child's Baptism Location
Please enter valid data.
Child 1's 1st Reconciliation
Please enter valid data.
Child 1's 1st Reconciliation Location
Please enter valid data.
Child 1's 1st Holy Communion
Please enter valid data.
Child 1's 1st Holy Communion Location
Please enter valid data.
Child 1's Confirmation
Please enter valid data.
Child 1's Confirmation Location
Please enter valid data.
Miscellaneous Information
Are there any particular areas of the parish that you would like to be involved in?
Involvement Areas
Is there anything else you'd like to tell us?
Other Comments
Thank you for taking the time to fill out this registration form. Please make sure all information given is accurate, and press submit when ready. You will receive a confirmation email shortly after submission.
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