2013 Parish Census
Family Name *
Home Address *
Home Phone Number
Are there people in the household who are homebound or sick that would like to receive Holy Communion at home on a monthly basis? *
Would you like Father Chris or Deacon Bill to contact you and arrange a visit to your home for a "Home Blessing" and pastoral visit? *
Is anyone in the household interested in becoming more involved in one of our ministries or perhaps starting a new ministry/group at this time (you will be contacted to help you discern where your gifts might best be used for the parish)? *
Can you offer suggestions for ways we can improve our parish so that we will remain an amazing place where God is glorified and His people are sanctified (we really want to get as much feedback and ideas from people as possible)?
Regarding envelopes that we use for our weekly tithe... *
First and Last Name for Head of Household *
Date of Birth for Head of Housebold
Cell Phone for Head of Household
Email address for Head of Household
Is the Head of Household a Catholic? *
Has Head of Household received Baptism, Confirmation & Eucharist? *
Is Head of Household working or in school? Where/what are they doing?
First and Last Name for Person #2
Date of Birth for Person #2
Cell Phone Number for Person #2
Email address for Person #2
is Person #2 a Catholic?
Clear selection
Has Person #2 received Baptism, Confirmation & Eucharist?
Clear selection
Is Person #2 working or in school? Where/what are they doing?
First and Last Name for Person #3
Date of Birth for Person #3
Cell Phone Number for Person #3
Email address for Person #3
Is Person #3 a Catholic?
Clear selection
Has Person #3 received the Sacraments of Baptism, Confirmation & Eucharist?
Clear selection
Is Person #3 in school or working? Where/what are they doing?
First and Last Name for Person #4
Date of Birth for Person #4
Cell Phone Number for Person #4
Email address for Person #4
Is Person #4 a Catholic?
Clear selection
Has Person #4 received Baptism, Confirmation & Eucharist?
Clear selection
Is Person #4 working or going to school at this time? Where/what are they doing?
First and Last Name for Person #5
Date of Birth for Person #5
Cell Phone Number for Person #5
Email address for Person #5
Is Person #5 a Catholic?
Clear selection
Has Person #5 received the Sacraments of Baptism, Confirmation & Eucharist?
Clear selection
Is Person #5 working or going to school at this time? Where/what are they doing?
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