Parish Registration
Seven Dolors of the Blessed Virgin Mary Catholic Church - Manhattan, KS - Parish Census
Family Name *
Your answer
Primary Phone *
Your answer
Unlisted *
Address
Your answer
City, State Zip *
Your answer
Adults in the Home
Head of Household Name *
Your answer
HoH-Date of Birth *
MM
/
DD
/
YYYY
HoH-Gender *
HoH-Religion *
Your answer
HoH-Occupation
Your answer
HoH-Work Phone
Your answer
HoH-Sacraments *
Yes
No
Baptism
1st Communion
Confirmation
HoH-Date of Sacraments
if available
Your answer
Marital Status
Date of Marriage
MM
/
DD
/
YYYY
Spouse/Second Adult
and maiden name if applicable
Your answer
S-Date of Birth
MM
/
DD
/
YYYY
S-Gender
S-Religion
Your answer
S-Occupation
Your answer
S-Work Phone
Your answer
S-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
S-Date of Sacraments
if available
Your answer
Third Adult
Your answer
A-Date of Birth
MM
/
DD
/
YYYY
A-Gender
A-Religion
Your answer
A-Occupation
Your answer
A-Work Phone
Your answer
A-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
A-Date of Sacraments
if available
Your answer
Contact Emails *
list, or state "no email"
Your answer
Children Living at Home
Child 1
Your answer
1-Date of Birth
MM
/
DD
/
YYYY
1-Gender
1-Religion
Your answer
1-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
1-Date of Sacraments
if available
Your answer
Child 2
Your answer
2-Date of Birth
MM
/
DD
/
YYYY
2-Gender
2-Religion
Your answer
2-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
2-Date of Sacraments
if available
Your answer
Child 3
Your answer
3-Date of Birth
MM
/
DD
/
YYYY
3-Gender
3-Religion
Your answer
3-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
3-Date of Sacraments
if available
Your answer
Child 4
Your answer
4-Date of Birth
MM
/
DD
/
YYYY
4-Gender
4-Religion
Your answer
4-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
4-Date of Sacraments
if available
Your answer
Child 5
Your answer
5-Date of Birth
MM
/
DD
/
YYYY
5-Gender
5-Religion
Your answer
5-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
5-Date of Sacraments
if available
Your answer
Child 6
Your answer
6-Gender
6-Religion
Your answer
6-Sacraments
Yes
No
Baptism
1st Communion
Confirmation
6-Date of Sacraments
if available
Your answer
Other Information
Preference for parish financial contributions
Are there any special needs of any person in this household? (Yes or No, and more information as necessary)
Your answer
Other comments or suggestions? (Yes or No, and more information as necessary)
Your answer
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