St. Ann Parish Census
St. Ann Parish is undertaking its first ever census to guide its future plans. We’d appreciate your help by updating your family contact information & answering the questions on this form.
Family Name (Last Name) *
Your answer
First Name (Head of Family) *
Your answer
Head of household's date of birth
MM
/
DD
/
YYYY
# of years in St. Ann Parish *
Your answer
Address (City, State, Zip Code) *
Your answer
Phone Number (Cell)
Your answer
Phone Number (Home)
Your answer
Email Address *
Your answer
I prefer to be contacted by: (choose 1) *
Family members living in my home (List NAME, RELATION, and DATE OF BIRTH for each):
Your answer
Family members deceased (Date of Death for each):
Your answer
Are you currently parishioners of St. Ann Church? *
Would you or a family member be interested in becoming a St. Ann Parishioner? *
Are you or someone in your family currently a member of a St. Ann Ministry? *
Are you or someone in your family interested in more information about joining a St. Ann Ministry? *
Are you familiar with the website for the St. Ann Church and Shrine (stannchurchandshrine.org)? *
Have you used the new FORMED program offered through the St. Ann Church website? *
Are you receiving regular emails from the Parish regarding monthly activities and programs? *
Do you have children or grandchildren currently attending St. Ann School? *
Would you be interested in any additional information about St. Ann School? *
Would you or someone in your family be interested in information about our School of Religion? *
Would you or someone in your family be interested in information about our CYO program? *
Would you or someone in your family be interested in information about upcoming events? *
Do you have any other comments to share with us? If so, please write them in the space below.
Your answer
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