Parish Census Information Step 1 of 6 16% X/TwitterThis field is for validation purposes and should be left unchanged.Parish you would like to register at:(Required) St. Bruno Parish St. Paul Parish Family Last Name:(Required)Address: (Street/PO Box)(Required)City:(Required)State:(Required)Zip:(Required)Email:Home Phone:Cell Phone:Wife's Maiden Name:Date/Place of Marriage:Married By a Priest or Deacon: Yes No Would you like to receive the Catholic Accent (Diocesan Newspaper)(Required) Yes No List on the next five pages the names of all those residing in this household, also enter last name if different than the family last namePlease note that non-students over 18 should complete their own form. Family Member 1 – Name First Middle Last Marital Status Married Single Widow/er Separated Divorced Religion Catholic Baptist Cong. Epis. Lutheran Methodist Presbyterian Other Sex Male Female Date of Birth MM slash DD slash YYYY Baptized Yes No Date & Place of BaptismFirst Communion Yes No Date & Place of First CommunionConfirmation Yes No Date & Place of ConfirmationSpecial Needs Blind Deaf Mental Handicap Physical Handicap Shut-in Nursing Home Other Occupation Family Member 2 – Name First Middle Last Marital Status Married Single Widow/er Separated Divorced Religion Catholic Baptist Cong. Epis. Lutheran Methodist Presbyterian Other Sex Male Female Date of Birth MM slash DD slash YYYY Baptized Yes No Date & Place of BaptismFirst Communion Yes No Date & Place of First CommunionConfirmation Yes No Date & Place of ConfirmationSpecial Needs Blind Deaf Mental Handicap Physical Handicap Shut-in Nursing Home Other Occupation Family Member 3 – Name First Middle Last Marital Status Married Single Widow/er Separated Divorced Religion Catholic Baptist Cong. Epis. Lutheran Methodist Presbyterian Other Sex Male Female Date of Birth MM slash DD slash YYYY Baptized Yes No Date & Place of BaptismFirst Communion Yes No Date & Place of First CommunionConfirmation Yes No Date & Place of ConfirmationSpecial Needs Blind Deaf Mental Handicap Physical Handicap Shut-in Nursing Home Other Occupation Family Member 4 – Name First Middle Last Marital Status Married Single Widow/er Separated Divorced Religion Catholic Baptist Cong. Epis. Lutheran Methodist Presbyterian Other Sex Male Female Date of Birth MM slash DD slash YYYY Baptized Yes No Date & Place of BaptismFirst Communion Yes No Date & Place of First CommunionConfirmation Yes No Date & Place of ConfirmationSpecial Needs Blind Deaf Mental Handicap Physical Handicap Shut-in Nursing Home Other Occupation Family Member 5 – Name First Middle Last Marital Status Married Single Widow/er Separated Divorced Religion Catholic Baptist Cong. Epis. Lutheran Methodist Presbyterian Other Sex Male Female Date of Birth MM slash DD slash YYYY Baptized Yes No Date & Place of BaptismFirst Communion Yes No Date & Place of First CommunionConfirmation Yes No Date & Place of ConfirmationSpecial Needs Blind Deaf Mental Handicap Physical Handicap Shut-in Nursing Home Other Occupation Δ