Online Parish Registration Items with * are required. Family Information *Family Name: Street address: City: State: ZIP: Home phone: Would you like your phone number listed? (Yes/No): YesNo *Primary email: Adult Member Information Adult 1 If you are single/unmarried, this is the only section you need to fill out. *First Name: Middle Name: *Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Occupation: Employer: Work Phone: Work E-mail: Cell Phone: Marital Status: SingleMarried-CatholicMarried-Other ReligionMarried-CivilWidowedSeparatedDivorcedAnnulledEngaged Date of Wedding (MM/DD/YYYY): Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Adult 2 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Occupation: Employer: Work Phone: Work E-mail: Cell Phone: Marital Status: SingleMarried-CatholicMarried-Other ReligionMarried-CivilWidowedSeparatedDivorcedAnnulledEngaged Date of Wedding (MM/DD/YYYY): Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Children Child 1 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Child 2 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Child 3 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Child 4 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Child 5 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone Sacraments Received:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: Child 6 First Name: Middle Name: Last name: Name known by: Male or Female? MaleFemale Birthday (MM/DD/YYYY): Phone: E-mail: School/College: Grade: Religion: —Please choose an option—CatholicBaptismBrethrenBuddhistChristianCongregationalEvangelical FreeEpiscopalGreek OrthodoxHinduLutheranMethodistMuslimNazarenePentecostalPresbyterianProtestantUnited CCAtheistAgnosticNone SacramentsReceived:Dates if available (for parish database) Baptism Status: Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination Baptism Date: 1st Communion Status: No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination 1st Communion Date: Confirmation Status: Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination Confirmation Date: If you have additional children, please fill out the form again, repeating the adults and starting with child 7 as child 1. Notes (optional) If any member has Special Needs please list the first name followed by the nature of the special need: Please provide any extra information you would like the parish records to show, especially clarifications of any selections made above: Please type the letters you see so we can verify you are not a bot.
