OUR LADY OF GRACE PARISH CENSUS INFORMATION

Please provide the following information.

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Select one:

Family Name:

Home Phone:

Street:

E-mail:

City/Town:

Zip:

 Individual Information:

MALE

  FEMALE (include Maiden Name)

First Name, MI:

First Name, MI:

Birth Date, Place:

Birth Date, Place

Religion:

Religion:

Date of Baptism:

Date of 1st Communion:

Date of Confirmation:

Date of Baptism:

Date of 1st Communion:

Date of Confirmation:

Marital Status: If Married, Married by:

Occupation/Employer:

Occupation/Employer:

Business Telephone:

Business Telephone:

Parish Ministries:

Parish Ministries:

Talents/Interests:

Talents/Interests:

Languages spoken:

Languages spoken:

  Children (Include only for those home, away at school, or in the service, DO NOT include adult children)

Name

 

D.O.B.

Baptism

 1st Communion

 

 

 Confirmation

 Grade

 OLG School

 

 

 

Others living in your home: 

Name

 

D.O.B.

Baptism

 1st Communion

 

 

 Confirmation

 Grade

 OLG School

 

 

 

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