Please complete the following to register or update your information for our parish census. Thank you. Family Name Title Street Address City State/Province Zip/Postal Code Home Phone Cell Phone E-mail Previous Parish Family Members: Head of Household Name Date of Birth Sex Male Female Married . Yes No Single . Yes No Widow/er . Yes NoDivorced . Yes No Baptism . Yes No 1st Eucharist . Yes NoConfirmation . Yes No Religion Occupation Attends Mass . Regularly Seldom Never Spouse Date of Birth Maiden Name Date of Marriage Place of Marriage Baptism . Yes No 1st Eucharist . Yes NoConfirmation . Yes No Religion Occupation Attends Mass . Regularly Seldom Never Children Name Sex . M F Date of Birth Baptism . Yes No 1st Eucharist . Yes No Confirmation . Yes No School Attends CCD Name Sex . M F Date of Birth Baptism . Yes No 1st Eucharist . Yes No Confirmation . Yes No School Attends CCD Name Sex . M F Date of Birth Baptism . Yes No 1st Eucharist . Yes No Confirmation . Yes No School Attends CCD Name Sex . M F Date of Birth Baptism . Yes No 1st Eucharist . Yes No Confirmation . Yes No School Attends CCD Additional Adults living in household Name Relationship Date of Birth Sex . M F Religion Occupation Ill or confined Name Relationship Date of Birth Sex . M F Religion Occupation Ill or confined Do you wish to receive parish envelopes? Do you wish to receive the Catholic Star Herald? Do you wish to discuss any matter with a priest? Is there anyone in your household in need of home visitation? We respectfully request that you respond to the questions below. The information provided will greatly help to ascertain the gifts, interest and needs of parishioners of Christ the King Parish. Thank you for your cooperation. What do you find interesting, helpful, and good about Christ the King Parish? What do you suggest that the Parish could do to serve your family better? Would you please name any special talents, interests, or experience you have which would be helpful to Parish organizations or activities? Please name any Parish organization or activity in which you are interested and in which you would like to be a participating member: If your family has any specific needs or request from the Parish, please indicate them: Additional Comments or Suggestions: PLEASE REMOVE MY/OUR NAME FROM THE PARISH REGISTRY Reason Please fill in box with verification code. Thank you. Refresh
Please complete the following to register or update your information for our parish census. Thank you.
Additional Adults living in household
Do you wish to receive parish envelopes?
Do you wish to receive the Catholic Star Herald?
Do you wish to discuss any matter with a priest?
Is there anyone in your household in need of home visitation?
What do you find interesting, helpful, and good about Christ the King Parish?
What do you suggest that the Parish could do to serve your family better?
Would you please name any special talents, interests, or experience you have which would be helpful to Parish organizations or activities?
Please name any Parish organization or activity in which you are interested and in which you would like to be a participating member:
If your family has any specific needs or request from the Parish, please indicate them:
Additional Comments or Suggestions:
PLEASE REMOVE MY/OUR NAME FROM THE PARISH REGISTRY Reason
