Parish Registration and Census Information
Please print this form and drop it off at the parish center.
   
Family Name
Title for Mailing Mr. & Mrs.   Mr.   Mrs.  Miss   Ms.
Street Address
City, State, Zip
Phone
Email
New to Parish? Yes  No          Number of years in Parish
Would you like to receive weekly envelopes? Yes  No

Would you like to receive information on making your offerings through electronic giving? Yes  No
If married, date of marriage:
Head(s) of Household
Last Name
First Name
Date of Birth
Sex Male  Female Male  Female
Relationship

If "Wife", Maiden Name

If "Wife", Maiden Name

Marital Status
Married by
Religion
Sacraments Baptism
First Communion
Confirmation 		Baptism
First Communion
Confirmation
Mass Attendance Weekly  Occasional  None Weekly  Occasional  None
Education
Occupation
Ethnic Origin
Other Adult(s) Living With You
Name
Relationship
Date of Birth
Marital Status
Religion
Mass Attendance Weekly  Occasional  None Weekly  Occasional  None
Occupation
Sacraments Baptism
First Communion
Confirmation 		Baptism
First Communion
Confirmation
Childen Living at Home
Last Name
First name
Date of Birth
Sex Male  Female Male  Female Male  Female
Relationship
Religion
Sacraments Baptism
First Communion
Confirmation 		Baptism
First Communion
Confirmation 		Baptism
First Communion
Confirmation
Mass Attendance
School Attending
Grade in School
Enrolled in Religious Ed? Yes  No Yes  No Yes  No
Ethnic Origin
Special Concerns (physically challenged, home-bound, etc.)
Skills, talents, or hobbies which you might be willing to use to assist the parish (e.g. foreign language spoken, artist, carpenter, baker):
How can the parish serve you better?
 

 
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Mailing Address: 49 Demarest Road, Paramus, NJ 07652 | Location: 50 W. Midland Avenue, Paramus, NJ 07652 | Phone: 201-261-6322