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Annunciation Parish Census Form

Head of Household Last Name
Email
Phone

Address

Head of Household Information

First Name
Middle Name
Preferred Name

Birth Date
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

Spouse

Spouse Name
Middle Name
Preferred Name
Maiden Name

Birth Date
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

1st Child or other member

(if other, describe relationship-1)

First Name
Middle Name
Preferred Name

Birth Date
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

2nd Child or other member

(if other, describe relationship-2)

First Name
Middle Name
Preferred Name

Date of Birth
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

3rd Child or other member

(if other, describe relationship-3

First Name
Middle Name
Preferred Name

Birth Date
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

4th Child or other member

(if other, describe relationship-4)

First Name
Middle Name
Preferred Name

Date of Birth
Occupation

Marital Status
Date of Marriage
Place of Marriage

Baptism (Religion/Rite)
1st Communion (yes/no)
Confirmed (yes/no)

Are you interested in information about our:

day school (yes/no)?
parish school of religion (yes/no)?

Is there anything the parish can do for you?

Do you have any questions?

If you are not attending mass here, why not?