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Census Form

This document is a census form for St. Dennis Parish that collects contact information, family status, and sacramental details for parishioners. It requests the family name, address, phone number and email. For the husband and wife it collects names, contact details, languages spoken, occupations, religion, and information on baptism, communion, confirmation and marriage. It also documents any children living at home including their names, birthdates, schools, grades, and sacramental details. Space is provided to list other adults at the address and any needs or ways the parishioners may contribute their time and talents.

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stdennisparish
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
42 views

Census Form

This document is a census form for St. Dennis Parish that collects contact information, family status, and sacramental details for parishioners. It requests the family name, address, phone number and email. For the husband and wife it collects names, contact details, languages spoken, occupations, religion, and information on baptism, communion, confirmation and marriage. It also documents any children living at home including their names, birthdates, schools, grades, and sacramental details. Space is provided to list other adults at the address and any needs or ways the parishioners may contribute their time and talents.

Uploaded by

stdennisparish
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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FAMILY NAME ______________________________________________________________________

ST. DENNIS PARISH CENSUS INFORMATION


ADDRESS: __________________________________________________________________________________________________
CITY/STATE/ZIP: __________________________________________________________________________________________
HOME PHONE NUMBER: ________________________________________________________________________________
FAMILY E-MAIL ADDRESS: ______________________________________________________________________________

TODAYS DATE: _____________________


Envelope No. _________________________
I/We would like information on:
_____ RCIA
_____ Baptism
_____ School
_____ GIFTs Program
_____ Blessing of Marriage
_____ Blessing of Home

FAMILY STATUS please circle one: Single, Married, Divorced, Remarried, Widow/Widower, Engaged
HUSBANDS FIRST NAME: ________________________________________

PREFERRED NICK NAME: ______________________________________________________

CELL PHONE: ______________________________________________________

E-MAIL ADDRESS: _______________________________________________________________

BIRTH DATE: ______________________________________________________

OCCUPATION: __________________________________________________________________

WHERE EMPLOYED: ______________________________________________

BUSINESS PHONE: ______________________________________________________________

DO YOU SPEAK A 2ND LANGUAGE? ___________________________

IF YES, WHICH ONE? ___________________________________________________________

RELIGION: __________________________________________________________

SACRAMENTS: Please indicate YES or NO

BAPTISM __________

1st COMMUNION __________

CONFIRMATION __________

MARRIED BY PRIEST/DEACON__________

CHURCH OF MARRIAGE: ________________________________________

DATE OF MARRIAGE: __________________________________________________________

WIFEs FIRST NAME: _____________________________________________

WIFEs MAIDEN NAME: ________________________________________________________

CELL PHONE: ______________________________________________________

E-MAIL ADDRESS: _______________________________________________________________

BIRTH DATE: ______________________________________________________

OCCUPATION: __________________________________________________________________

WHERE EMPLOYED: ______________________________________________

BUSINESS PHONE: ______________________________________________________________

DO YOU SPEAK A 2ND LANGUAGE? ___________________________

IF YES, WHICH ONE? ___________________________________________________________

RELIGION: __________________________________________________________

SACRAMENTS: Please indicate YES or NO

BAPTISM __________
(over)

1st COMMUNION __________

CONFIRMATION __________

MARRIED BY PRIEST/DEACON__________

CHILDREN LIVING AT SAME ADDRESS


Childs Name ____________________________
Birth Date _________________
Male / Female _____
School Name ___________________________ Grade _______
Sacraments: Yes or No BAPTISM: _____________ Date / Church ___________________________________
1st Communion: Date / Church __________________ Confirmation: Date / Church _________________
Childs Name ____________________________
Birth Date _________________
Male / Female _____
School Name ___________________________ Grade _______
Sacraments: Yes or No BAPTISM: Date / Church ___________________________________
1st Communion: Date / Church __________________ Confirmation: Date / Church _________________
Childs Name ____________________________
Birth Date _________________
Male / Female _____
School Name ___________________________ Grade _______
Sacraments: Yes or No BAPTISM: Date / Church ___________________________________
1st Communion: Date / Church __________________ Confirmation: Date / Church _________________
Childs Name ____________________________
Birth Date _________________
Male / Female _____
School Name ___________________________ Grade _______
Sacraments: Yes or No BAPTISM: Date / Church ___________________________________
1st Communion: Date / Church __________________ Confirmation: Date / Church _________________
OTHER ADULTS LIVING AT SAME ADDRESS (PARENTS/IN-LAWS/SIBLINGS)
NAME: ___________________________________________________ BIRTH DATE: _______________
HOW RELATED?____________________________________________ Special Needs (if any) _______________
Please use another sheet of paper if needed:
How can we help you? Do you have any particular needs at this time, ie., Home-bound visits, nursing home visits, etc.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Would you share your talents/time with us? Please check the Ministry description/signup sheets. _______________________
_____________________________________________________________________________________________________

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