Parish Census Form

Head of Household *
Head of Household
Date of birth *
Date of birth
Cell Phone
Cell Phone
Spouse
Spouse
Date of birth
Date of birth
Cell Phone
Cell Phone
Home Address *
Home Address
Home Phone *
Home Phone
If married, Date Married
If married, Date Married
Are you interested in
Child 1
Child 1
Father's Name
Father's Name
Mother's Maiden Name
Mother's Maiden Name
Child's Date of Birth
Child's Date of Birth
Child's Baptismal Date
Child's Baptismal Date
Child 2
Child 2
Father's Name
Father's Name
Mother's Maiden Name
Mother's Maiden Name
Child's Date of Birth
Child's Date of Birth
Child's Baptismal Date
Child's Baptismal Date
Child 3
Child 3
Father's Name
Father's Name
Mother's Maiden Name
Mother's Maiden Name
Child's Date of Birth
Child's Date of Birth
Child's Baptismal Date
Child's Baptismal Date
Child 4
Child 4
Father's Name
Father's Name
Mother's Maiden Name
Mother's Maiden Name
Child's Date of Birth
Child's Date of Birth
Child's Baptismal Date
Child's Baptismal Date

For those families with more than four children, please submit the form once, and then a second time with the other members of your family.