register

To register your family at St. Pius X, please fill out the form below and click submit. You may also fill out a registration card

found in the gathering space kiosk by the bathroom hall or feel free to call the parish office at 515-276-2059.

Registration information:

First Name:

* required

Middle Name:

Last Name:

* required

Maiden Name:

Religion:

Date of Birth:

Married:

Spouse First Name:

Spouse Middle Name:

Spouse Last Name:

Spouse Maiden Name:

Spouse Religion:

Spouse Date of Birth:

Address:

City:

Zip:

E-mail:

Phone:

Child 1 Full Name:

Child 1 Date of Birth:

Child 1 Sex:

Child 1 Religion:

Child 2 Full Name:

Child 2 Date of Birth:

Child 2 Sex:

Child 2 Religion:

Child 3 Full Name:

Child 3 Date of Birth:

Child 3 Sex:

Child 3 Religion:

Child 4 Full Name:

Child 4 Date of Birth:

Child 4 Sex:

Child 4 Religion:

Other Notes: