Home
Our Parish
NEWS
HOLY FAMILY PRESS RELEASE
WHOLE PARISH EVENTS
Parish Information
Calendar
Parish Registration
Contact Us
Parish Committees
Tithing Grant
Funeral Planning
Parish Information
Communications
Bulletins
Catholic Dubuque
The Archdiocese of Dubuque
TOGETHER Archdiocese Monthly Parish Bulletin
Holy Family School System
Support
2024 Resurrection Parish Festival
PRAY, SHARE AND GIVE
SCRIP
New School - Capital Campaign
Ministries
Pastoral Care
Care for the Caregiver
Outreach
Mobile Food Pantry
Liturgy & Prayer
Join Us for Mass
Mass Times
Adoration
Week Day Mass Weather Policy
Ministries
Liturgical Ministries
Children's Liturgy of the Word
Faith Formation
Adult Faith Formation
Becoming Catholic (OCIA)
Faith Enrichment Opportunities
Youth Faith Formation
Pre K-12 Faith Formation
School Year YFF Registration
Resurrection CGS
Youth Ministry
Foundation
High School Youth Ministry
Pictures
Service to others
Sacramental Preparation
Baptism
August Baptism Preparation Class
September Baptism Preparation Class
October Baptism Preparation Class
First Reconciliation & Eucharist
Reconciliation/Eucharist Registration
Confirmation
Marriage
|||
Church of the Resurrection
4300 Asbury Road, Dubuque, IA 52002
(563) 556-7511
Mass Times
Bulletins
Contact Us
Facebook
Phone
YouTube
Search
Search
Home
Our Parish
NEWS
HOLY FAMILY PRESS RELEASE
WHOLE PARISH EVENTS
Parish Information
Calendar
Parish Registration
Contact Us
Parish Committees
Funeral Planning
Parish Information
Communications
Bulletins
Catholic Dubuque
The Archdiocese of Dubuque
TOGETHER Archdiocese Monthly Parish Bulletin
Holy Family School System
Support
2024 Resurrection Parish Festival
PRAY, SHARE AND GIVE
SCRIP
New School - Capital Campaign
Ministries
Liturgy & Prayer
Join Us for Mass
Mass Times
Adoration
Week Day Mass Weather Policy
Ministries
Liturgical Ministries
Children's Liturgy of the Word
Faith Formation
Adult Faith Formation
Becoming Catholic (OCIA)
Faith Enrichment Opportunities
Youth Faith Formation
Pre K-12 Faith Formation
Youth Ministry
Sacramental Preparation
Baptism
First Reconciliation & Eucharist
Confirmation
Marriage
School Year YFF Registration
Faith Formation
Adult Faith Formation
Becoming Catholic (OCIA)
Faith Enrichment Opportunities
Youth Faith Formation
Pre K-12 Faith Formation
School Year YFF Registration
Resurrection CGS
Youth Ministry
Sacramental Preparation
Baptism
First Reconciliation & Eucharist
Confirmation
Marriage
The maximum number of form submissions has been reached. This form is currently not available.
Mother's First and Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Phone Number
REQUIRED
Please fill out this field.
Please enter valid data.
Father's First and Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Father's Phone Number
REQUIRED
Please fill out this field.
Please enter valid data.
Legal Guardian Name and Number
Please enter valid data.
Registered Parish
REQUIRED
(Select One)
Resurrection
Cathedral
Holy Spirit
Nativity
St. Anthony
St. Columbkille
St. Joseph the Worker
St. Joseph Key West
Other
I do not belong to a parish
Please fill out this field.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Additional Email (only if you want communications sent to more than one person)
Please enter valid data.
Child #1 Information
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
Please fill out this field.
School Attending in Fall
REQUIRED
(Select One)
Audubon
Bryant
Carver
Drexler
Eisenhower
Epworth
Hoover
Irving
Jefferson
Kennedy
Marshall
Prescott
Roosevelt
Sageville
Seton
Table Mound
Washington
Other
Please fill out this field.
Faith Formation Method
REQUIRED
Choose one option
1st-5th Grade In-person Option: Wednesdays 5:15-6:30 PM $165.00
6th-8th Grade In-person Option: Wednesdays 6:30-7:45 PM $165.00
1st-8th Grade Homeschool Option $50.00
Please fill out this field.
Additional Information (learning difficulties, special education, severe allergy, etc.)
MEDIA RELEASE & AUTHORIZATION
REQUIRED
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the use of any videos, photos, or similar items to used in social media or on a parish web page.
YES
NO
Please fill out this field.
PARTICIPANT INFORMATION RELEASE
REQUIRED
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the publication of participant information in the parish directory and other parish publications.
YES
NO
Please fill out this field.
Child #2 Information
First Name
Please enter valid data.
Last Name
Please enter valid data.
Student Grade in Fall
None
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
School Attending in Fall
None
Audubon
Bryant
Carver
Drexler
Eisenhower
Epworth
Hoover
Irving
Jefferson
Kennedy
Marshall
Prescott
Roosevelt
Sageville
Seton
Table Mound
Washington
Other
Faith Formation Method
1st-5th Grade In-person Option: Wednesdays 5:15-6:30 PM $165.00
6th-8th Grade In-person Option: Wednesdays 6:30-7:45 PM $165.00
1st-8th Grade Homeschool Option $50.00
Additional Information (learning difficulties, special education, severe allergy, etc.)
MEDIA RELEASE & AUTHORIZATION
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the use of any videos, photos, or similar items to used in social media or on a parish web page.
YES
NO
PARTICIPANT INFORMATION RELEASE
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the publication of participant information in the parish directory and other parish publications.
YES
NO
Child #3 Information
First Name
Please enter valid data.
Last Name
Please enter valid data.
Student Grade in Fall
None
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
School Attending in Fall
None
Audubon
Bryant
Carver
Drexler
Eisenhower
Epworth
Hoover
Irving
Jefferson
Kennedy
Marshall
Prescott
Roosevelt
Sageville
Seton
Table Mound
Washington
Other
Faith Formation Method
1st-5th Grade In-person Option: Wednesdays 5:15-6:30 PM $165.00
6th-8th Grade In-person Option: Wednesdays 6:30-7:45 PM $165.00
1st-8th Grade Homeschool Option $50.00
Additional Information (learning difficulties, special education, severe allergy, etc.)
MEDIA RELEASE & AUTHORIZATION
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the use of any videos, photos, or similar items to used in social media or on a parish web page.
YES
NO
PARTICIPANT INFORMATION RELEASE
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the publication of participant information in the parish directory and other parish publications.
YES
NO
Child #4 Information
First Name
Please enter valid data.
Last Name
Please enter valid data.
Student Grade in Fall
None
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
School Attending in Fall
None
Audubon
Bryant
Carver
Drexler
Eisenhower
Epworth
Hoover
Irving
Jefferson
Kennedy
Marshall
Prescott
Roosevelt
Sageville
Seton
Table Mound
Washington
Other
Faith Formation Method
1st-5th Grade In-person Option: Wednesdays 5:15-6:30 PM $165.00
6th-8th Grade In-person Option: Wednesdays 6:30-7:45 PM $165.00
1st-8th Grade Homeschool Option $50.00
Additional Information (learning difficulties, special education, severe allergy, etc.)
MEDIA RELEASE & AUTHORIZATION
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the use of any videos, photos, or similar items to used in social media or on a parish web page.
YES
NO
PARTICIPANT INFORMATION RELEASE
I understand that by responding "Yes" I hereby grant authority to my child’s parish for the publication of participant information in the parish directory and other parish publications.
YES
NO
ELECTRONIC SIGNATURE
Please check one of the following:
REQUIRED
NO, I am unwilling to sign this form electronically. I understand that I must contact the parish office for a hardcopy of the above permissions before the child or children listed above can participate in the program.
YES, I am the parent or guardian of the child(ren) named above and have the legal authority to execute the above permission(s). I consent to signing this document electronically as demonstrated by typing my name.
Please fill out this field.
First Name
Please enter valid data.
Last Name
Please enter valid data.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.