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CONFIDENTIAL CENSUS FORM

* Required

FAMILY INFORMATION
Last Name *		Maiden Name
Address *		E-mail address
City, State, Zip *
Phone *		Listed     Unlisted
Date Married		Where Married
Head of Family Male     Female First Name * Middle Name Last Name * Date of Birth * Marital Status Married     Separated     Single Divorced     Widowed Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church City/State 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date Church City/State Occupation Work Phone		Spouse Male     Female First Name Middle Name Last Name Date of Birth Marital Status Married     Separated     Single Divorced     Widowed Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church City/State 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date Church City/State Occupation Work Phone
Special needs
	Click the button on the left to add a child to this form. You may add as many children as you need. ADULT CHILDREN SHOULD REGISTER WITH PARISH SEPARATELY
Child 1 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 2 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 3 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 4 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 5 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 6 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 7 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 8 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 9 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 10 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 11 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 12 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 13 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 14 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 15 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 16 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 17 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 18 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 19 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade Child 20 First Name Middle Name Last Name Male     Female Date of Birth Religion Roman Catholic     Other Baptized Yes     No If yes, Date Church 1st Communion Yes     No If yes, Date Confirmation Yes     No If yes, Date School Grade