Parishioner Census Form
Parishioner Census Form
*
Date:
*
Family Name:
*
Home #:
Work #:
Cell #
Cell #:
*
Address:
*
City:
*
State:
*
Zip:
Former Parish (less than five years):
Location:
*
Initial Date of Registration at St Luke Parish
*
Male Name
*
Male Date of Birth
Male Religion
Male Ocupation
*
Female Name
*
Female Date of Birth
Female Religion
Female Ocupation
*
Child 1 Full Name & Date of Birth
*
Child 1 Religion
*
Child 1 School & Grade
Child 2 Full Name & Date of Birth
Child 2 Religion
Child 2 School & Grade
Child 3 Full Name & Date of Birth
Child 3 Religion
Child 3 School & Grade
Child 4 Full Name & Date of Birth
Child 4 Religion
Child 4 School & Grade
Child 5 Full Name & Date of Birth
Child 5 Religion
Child 5 School & Grade
Child 6 Name and Date of Birth
Child 6 Religion
Child 6 School & Grade
Others living with you
Special Needs?
Yes
No
Single Parent?
Yes
No
Married by a Catholic Priest/Deacon?
Yes
No
*
I/We would like to continue requesting Paper Envelopes
Yes
No
*
I/We would prefer to contribute using E-Envelopes
Yes
No
*
Email Address
*
How would you like to share your stewardship?
Eucharistic Minister
Lector
Choir
Usher
Alter Server
Eucharistic Minister to the sick
Adult Education
Religious Education Teacher
Knights of Columbus
Human Concerns
Sacred Environment
