Parish Census Form

Parish Census Form

Family Name *

Envelope# *

Street Address, City, State, Zip *

Home Phone *

Email *

Head of Household First Name *

Gender *

• Male
• Female

Date of Birth *

ReligionCatholicBaptistMethodistOther No Religion

Living Spouse's First Name *

Gender *

• Male
• Female

Date of Birth *

Religion *Catholic BaptistMethodist OtherNo Religion

Marital Status *

• Catholic Marriage
• Other Faith Marriage
• Civil Marriage
• Not Married
• Single
• Divorced
• Widowed

If you were not married in the Catholic Church, would you like to have it blessed in the Church?

• Yes
• No

Oldest Minor Child (full name)

First

Middle

Last

Gender

• Male
• Female

Date of Birth

Grade in School

School Attended

If attending a Public School, is he or she attending CDC Classes?

• Yes
• No

Next Minor Child (full name)

First

Middle

Last

Gender

• Male
• Female

Date of Birth

Grade in School

School Attended

If attending a Public School, is he or she attending CDC Classes?

• Yes
• No

Next Minor Child (full name)

First

Middle

Last

Gender

• Male
• Female

Date of Birth

Grade in School

School Attended

If attending a Public School, is he or she attending CDC Classes?

• Yes
• No

Website

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