Cathedral of the Immaculate Conception

Springfield, IL

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New Member Registration

1 About You

2 About You (Adult 2)

3 About Your Children

4 How can we serve you better?

Primary Household Name*
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Title*
Name*
First Last
Maiden Name (if applicable)
Date of Birth*
Date Format: MM slash DD slash YYYY
Email*
- Please add me to the Cathedral e-news email list
Cell Number
Religion
Sacraments Received
- Baptism
- Communion
- Confirmation
Marital Status
Marriage Type
- Catholic Marriage
- Civil/Non-Catholic Marriage
Date of Marriage
Date Format: MM slash DD slash YYYY
Occupation

Title
Adult #2 Name
First Last
Maiden Name (if applicable)
Date of Birth
Date Format: MM slash DD slash YYYY
Email
Cell Number
Religion
Sacraments Received
- Baptism
- Communion
- Confirmation
Occupation

Total # of children in your household
Child #1
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY
Child #2
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY
Child #3
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY
Child #4
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY
Child #5
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY
Child #6
Name
First Last
Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Grade Completed
Religion
Sacraments Received
- Baptism
- First Reconciliation
- Communion
- Confirmation
Date of Baptism
Date Format: MM slash DD slash YYYY
Date of First Reconciliation
Date Format: MM slash DD slash YYYY
Date of Communion
Date Format: MM slash DD slash YYYY
Date of Confirmation
Date Format: MM slash DD slash YYYY

Do you have other family or non-family members living in your household? (Ex: grandparent, aunt, uncle, niece, etc.) Please list their name and relation
Interest Survey
- Cathedral Council of Catholic Women
- Knights of Columbus
- Cathedral Cares (Service)
- Young Adults (The Forge)
- Men's Club
- Music Ministry
- Stewardship
- Parish School of Religion
- Share the Word
- Finance Council
- Spiritual Direction
- Liturgical Ministry
Please check the Organization or Ministry you or a family member might be interested in learning more about or joining. Check any that apply and indicate to whom they apply.
Are there other organizations or ministries that you would like to see at our parish? Please specify.
Parish History
Were you a registered parishioner at Cathedral Immaculate Conception in the past?
Approximately when:
What name were you registered under?
From time to time we list the names of our new parishioners as a way to welcome them. Is it ok to list your name?
Would you like your name and address to be listed in our parish directory?
Would you like your phone number listed?
Stewardship of Treasure giving preference:
- I would like to donate electronically. See our website to set up electronic donations.
- I prefer to receive Offertory Envelopes in the mail.
Parish eNewsletter & Bulletin
Sign me up to receive:
- Cathedral Weekly (digital copy)
- Special events and seasonal emails
Please provide the email address you'd like it to go to:
Phone
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Liturgy

Sunday Masses (unless noted differently in weekly bulletin)
Saturday Evening Vigil – 4:00PM
Sunday – 7:00AM, 10:00AM and 5:00PM

Weekday Masses (unless noted differently in weekly bulletin)
Monday thru Friday – 7:00AM and 5:15PM
Saturday – 8:00AM

Reconciliation (Confessions)
Monday thru Friday – 4:15PM to 5:00PM

Saturday – 9:00AM to 10:00AM and 2:30PM to 3:30PM

Sunday – 4:00PM to 4:45PM

CatholicMassTime.org

Parish Information

Parish Address
524 East Lawrence Avenue
Springfield, Illinois 62703

Parish Phone
(217) 522-3342

Parish FAX
(217) 210-0136

Contact Us

Name
First Last
Email*
How can we help?
Phone
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