Parish Census Card

Postcard sized Parish Census Cards are available on the parish bulletin board and may be completed and returned to the Rectory Office to update household information or to register as a new parish household. Completed cards may also be placed in the offertory basket. 

OR

Please print and complete the Parish Census Card provided below.  Completed cards may be returned to the Rectory Office at PO Box 66, Park Hills, MO  63601 or simply drop into the Sunday Collection basket at your earliest convenience.  Thank you.

(Hint:  To print only the Parish Census Card and not the menu at left, left click and hold down to select only what you wish to print.  Next, right click and choose Print then under "Page Range" choose  "Selection" and " Print".)

Please Note:  If you are transferring from a different parish, your previous parish needs to remove your household from their membership.  Please provide them with a courtesy call if you have not already done so.

PARISH CENSUS CARD

Family Name:___________________________________________________________________________________________________________________________________

Address:________________________________________________________________________________________________________________________________________

City/State/Zip:________________________________________________________________________________________________________________________________

Phone:________________________________________________________________

Husband:________________________________________________________________________ Birth Date:____________________  Religion:  C or N/C

               Baptized:  Y or N          1st Communion:  Y or N          Confirmation:  Y or N          Shut-In:  Y or N

Occupation:_______________________________________________________________________________________________________________________________________

Wife:_____________________________________________________________________________________  Birth Date:____________________  Religion:  C or N/C

               Baptized:  Y or N          1st Communion:  Y or N          Confirmation:  Y or N          Shut-In:  Y or N

Occupation:_____________________________________________________________________________________________________________________________________

Marital Status:     Married           Married by Priest?_____          Single                 Separated                  Divorced                 Widowed    

Do you receive monthly offertory packets?  __________                     Do you want to?  ____________ 

Do you receive the St. Louis Review?  __________                            Do you want to?  ____________ 

Previous Parish Name & Address:_____________________________________________________________________________________________________________________

                                                                            ____________________________________________________________________________________________________________________

Children and/or Other Adults Living in Your Household

Please give ages and birth dates:

______________________________________________________________________________________________  Birth Date: ____________________  Religion:  C or N/C

               Baptized:  Y or N                               1st Communion:  Y or N                            Confirmation:  Y or N                                    Shut-In:  Y or N

_______________________________________________________________________________________________  Birth Date: ____________________ Religion: C or N/C

               Baptized: Y or N                                        1st Communion: Y or N                        Confirmation: Y or N                                        Shut-In: Y or N

_______________________________________________________________________________________________ Birth Date: ____________________ Religion: C or N/C

              Baptized:  Y  or N                                         1st Communion: Y or N                       Confirmation: Y or N                                       Shut-In: Y or N

________________________________________________________________________________________________ Birth Date: ____________________ Religion: C or N/C

              Baptized: Y   or N                                         1st Communion:  Y or N                      Confirmation: Y or N                                     Shut-In: Y or N

_________________________________________________________________________________________________ Birth Date: ____________________ Religion: C or N/C

             Baptized: Y or N                                       1st Communion: Y or N                              Confirmation:  Y or N                                          Shut-In: Y or N

Number of family members in your household that attend this parish?  _________________________________________