Cicero, NY Knights of Columbus

Membership Enrollment Form

Yes! I am a baptized Catholic man over the age of 18 and a practicing Catholic. Please sign me up for membership in the Knights of Columbus Bishop David F. Cunningham Council 10904!

First name

Last name

Cell phone

Address1

Address2

City

State

Zip code

Parish

Parish city

Parish state

Date of birth

Former Member?

Member Referral Number

Signature

Date 10/02/2026

To complete your registration, we will input the information you provided above into our online membership system. Once that is complete, you will need to confirm your membership by responding to an email that you will receive from the Knights of Columbus at the email address you listed above. If you do not respond to the registration email, a Knights of Columbus representative may reach out to you to help you complete the registration process.