St. Cecilia Catholic Church
2900 Hoover Avenue
Ames, IA 50010
Parish Office:515-233-3092
Registration Form
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Family Information
Family Name:
Street Address:
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Zip Code:
Home Phone:
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Home E-mail Address:
Adult Member Information
Adult 1
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
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Female
Birthday (MM/DD/YYYY):
Occupation:
Employer:
Work Phone:
Work E-Mail
Cell Phone:
Marital Status:
Single
Married-Catholic
Married-OtherReligion
Married-Civil
Widowed
Separated
Divorced
Annulled
Engaged
If married date married:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Adult 2
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday (MM/DD/YYYY):
Occupation:
Employer:
Work Phone:
Work E-Mail:
Cell Phone:
Marital Status:
Single
Married-Catholic
Married-OtherReligion
Married-Civil
Widowed
Separated
Divorced
Annulled
Engaged
If married date married:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Information on Children and other Household Members
Member 1
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Member 2
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Member 3
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Member 4
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Member 5
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
Member 6
First Name:
Middle Name:
Last Name:
Name known by:
Male or Female?
Male
Female
Birthday:
Phone:
E-Mail:
School/College:
Grade:
Religion:
Catholic
Baptist
Brethern
Buddhist
Christian
Congregational
Evangelical Free
Episcopal
Greek Orthodox
Hindu
Lutheran
Methodist
Muslim
Nazarene
Pentecostal
Presbyterian
Protestant
United CC
Other
None
Sacraments
Date if known
Not Baptized
Bapt-St.CeciliaChurch
Bapt-OtherCatholicChurch
Bapt-OtherReligion
No First Eucharist
1stEuch-St.CeciliaChurch
1stEuch-OtherCatholicChurch
Not Confirmed
Conf-St.CeciliaChurch
Conf-OtherCatholicChurch
Conf-OtherReligion
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