Gove County
Catholic Parishes

Sacred Heart Parish, Park, Kansas
St. Agnes Parish, Grainfield, Kansas
Immaculate Conception Parish, Grinnell, Kansas

Parish Registration

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Welcome to the Gove County Catholic Parishes.

Please complete this form to register in one of the parishes.
Complete the information that applies for each member of your family.

Please be sure to introduce yourself to Father.
The maximum number of form submissions has been reached. This form is currently not available.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
- Parish REQUIRED Sacred Heart Parish, Park St. Agnes Parish, Grainfield Immaculate Conception Parish, Grinnell Please fill out this field.
- Family Information
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  Physical Address if different than Mailing Address 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 a zip code.
  
  Main Phone Number REQUIRED Maximum 20 characters
  Please list your primary phone number at which you can be contacted (cell or home).
  Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
- Number of Family Members REQUIRED
  Complete the information for each member of your family.
  Please fill out this field.
  
  Family Member 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Family Member 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Place of Employment Please enter valid data.
  
  Check one REQUIRED Father Mother Child Single Adult Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of birth
  
  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 a zip code.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Baptism Please enter valid data.
  
  Parish where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you received your First Communion? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of First Communion Please enter valid data.
  
  Parish where you received your First Communion Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Have you been Confirmed? REQUIRED Yes No Not sure Please fill out this field.
  
  Date of Confirmation Please enter valid data.
  
  Parish where you were Confirmed Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Marital Information
  
  Check the appropriate box. Married Widowed Single Divorced with annulment Divorced without annulment Separated
  
  Date of Marriage Please enter a date.
  
  Parish where you were married Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Were you married by a Catholic Priest? Yes No
- Other Information
  
  Name and Address of Former Parish REQUIRED
  Entries are sent directly to the parish priest and will be kept confidential as you desire.
  Please fill out this field.
  
  Please include any other information you would like the parish priest to know about your family.
  Entries are sent directly to the parish priest and will be kept confidential as you desire.
  
  Liturgical Ministries which you and/or your family would like to serve in our parish.
  Please check any of the Liturgical Ministries which you could serve in our parish.
  Lector Cantor Organist/Pianist Greeters and Gifts to the Altar Usher Mass Server Rosary before Mass
  
  Enter your Email if you wish to receive confirmation of the submission of this form. Please enter an email address.
Submit

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