Parish Census: Family Information

General Family Information

Family Name

Address

Phone Number

Do you belong to any other Churches?

Yes No

If anyone in the family belongs to a different Church, who and where?

What gifts do people in your family have that they could share with the Church?

Family member #1

Name

Sex

Male Female

Single

Single (Never married) Married Separated Divorced Previously divorced and now remarried

Baptized and/or Chrismated as an Orthodox Christian

Yes No

Phone Number

Email Address

This address will receive a confirmation email

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family member #2

Full Name

Sex Male Female

Marital Status Single (Never married) Married Separated Divorced Previously divorced and now remarried

Baptized and/or Chrismated as an Orthodox Christian Yes No

Cell Phone

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family Member #3

Full Name

Sex Male Female

Marital Status Single (Never married) Married Separated /divorced

Baptized and/or Chrismated as an Orthodox Christian Yes No

Cell Phone

This address will receive a confirmation email

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family Member #4

Full Name

Sex Male Female

Marrital Status Single (Never married) Married Separated Divorced

Baptized and/or Chrismated as an Orthodox Christian Yes No

Cell Phone

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family Member #5

Full Name

Sex Male Female

Marital Status Single (Never married) Married Separated Divorced

Baptized and/or Chrismated as Orthodox Christian Yes No

Cell Phone

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family Member #6

Full Name

Sex Male Female

Marital Status Single (Never married) Married Separated Divorced

Baptized and/or Chrismated as an Orthodox Christian Yes No

Cell Phone

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Family Member #7

Full Name

Sex Male Female

Marital Status Single (Never married) Married Separated Divorced

Baptized and/or Chrismated as an Orthodox Christian Yes No

Cell Phone

Date of Birth

Occupation

Away for School Yes

Additional Notes:

Description

Please fill out this form and click submit.
The Family Unit should be a husband, wife and children (please do not include elderly parents living with you, but rather fill out a separate form for them).
Children should be considered part of your family until they have completed their studies or have gotten married, whichever comes first.

Parish Census: Family Information

Description

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