Parish Census Form 2020 OLA, Latham, NY
Our Lady of the Assumption Parish, 498 Watervliet-Shaker Road, Latham NY 12110 Telephone: (518)785-0234
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First Name *
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Middle Name *
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Last Name *
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Date of Birth *
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Street Address *
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Town/City *
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State *
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Zip Code *
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Email *
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Home Phone number
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Cell Phone number
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Name of Additional Household member 1
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Date of Birth Additional Household member 1
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Name of Additional Household member 2
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Date of Birth Additional Household member 2
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Name of Additional Household member 3
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Date of Birth Additional Household member 3
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Name of Additional Household member 4
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Date of Birth Additional Household member 4
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Name of Additional Household member 5
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Date of Birth Additional Household member 5
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Name of Additional Household member 6
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Date of Birth Additional Household member 6
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Name of Additional Household member 7
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Date of Birth Additional Household member 7
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