Parish Registration

Thank you for taking the time to complete this form. We realize it does not cover all situations, but please fill it out as completely as possible and then click submit. Your registration will not be complete until you sign the form in the Parish Office. Please, bring copies of your sacraments certificates as well as your family's if possible. 

Welcome to St. Pius X Catholic Church
The information you provide on this census form will be used exclusively within the Church. Thank you!
Are you currently registered with another parish?
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If yes, Please name the Parish
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City
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State
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How would you like to do your stewardship donation?
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Do we have permission to publish the following within the Parish?
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Would you like to receive the following?
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Household Mailing Information
Please complete as you want mail addressed to your household, including titles.
Household Last Name:
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Formal Salutation
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Address
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Preferred Phone --
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E-mail
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Emergency Contact
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Emergency Contact Phone # --
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Head of Household
Full Name
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Birth Date //
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Phone -- ext
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E-mail
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Gender
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Marital Status
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Religion
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If other:
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments Received
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Sacrament Parish (Locations & Dates)
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Occupation
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Spouse / Other Adult
Full Name
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Maiden Name if applicable
Birth Date //
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Phone -- ext
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E-mail
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Gender
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Marital Status
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Role
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If other:
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Religion
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If other:
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments Received
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Sacrament Parish (Locations & Dates)
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Occupation
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Child 1
Full Name
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Birth Date //
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Role
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If other:
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Religion
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments received
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Sacrament Parish (Locations & Dates)
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Grade (rising)
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School
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Name of school
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Child 2
Full Name
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Birth Date //
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Role
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If other:
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Religion
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments received
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Sacrament Parish (Locations & Dates)
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Grade (rising)
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School
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Name of school
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Child 3
Full Name
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Birth Date //
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Role
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If other:
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Religion
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments received
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Sacrament Parish (Locations & Dates)
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Grade (rising)
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School
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Name of school
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Child 4
Full Name
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Birth Date //
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Role
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If other:
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Religion
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Race/Ethnicity
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If other:
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Language (s)
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If other:
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Disability
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If other:
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Sacraments received
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Sacrament Parish (Locations & Dates)
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Grade (rising)
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School
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Name of school
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Additional Children
Child 5
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Child 6
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Child 7
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Is this information:
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Name of the Person completing this form
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