Census form

Family Member 1

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 2

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 3

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 4

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 5

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 6

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 7

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 8

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 9

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 10

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 11

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Family Member 12

First Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Last Name (if different) Please enter valid data.
Sex REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Religion REQUIRED Please fill out this field. Please enter valid data.
Handicap Please enter valid data.
Occupation Please enter valid data.
Place of Employment Please enter valid data.
Business Phone Please enter valid data.
Name of School Currently Attending Please enter valid data.
Current Grade Level Please enter valid data.
Will this family member attend CCD? REQUIRED Please fill out this field.
Please check the box for each sacrament received
Select all that apply
Baptism Penance First Communion Confirmation Marriage

Sts. Peter & Paul Catholic Church

Pearl River, Louisiana

Census form

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