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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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 Sacraments Received: Dates if available (for parish database) Not BaptizedBaptized at St CeciliaBaptized at Other Catholic ChurchBaptized in Other Christian Denomination No First Communion1st Communion at St Cecilia1st Communion at Other Catholic Church1st Communion in Other Christian Denomination Not ConfirmedConfirmation at St CeciliaConfirmation at Other Catholic ChurchConfirmation in Other Christian Denomination 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:
