St Mel's Parish - Household Census
The information you submit will be used for parish purposes only. It helps us to get to know our parishioners, ensure our records are accurate and up to date and keep in contact with you. As this is a household census, we are assuming that all the information of the people in this form share the same home address.
Home Address:
Apartment/House Number, Street
Suburb
Suburb
State
Postcode
Home Fixed Line Phone
Person filling in the form
*
First Name
Middle Name
Last Name
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
*
example@example.com
Email Updates
Please add my email to the Parish Flocknote Mailing List to receive occasional updates
Mobile
*
Baptism Date
If you do not remember the exact date, just provide the month and/or year
Baptism Place
Our Lady's-Maidstone, Christ the King-Braybrook, Other=please specify
Confirmation Date
If you do not remember the exact date, just provide the month and/or year
Confirmation Place
Our Lady's-Maidstone, Christ the King-Braybrook, Other=please specify
Marriage Date
Place of Marriage
Our Lady's-Maidstone, Christ the King-Braybrook, Other=please specify
Planned Giving Envelope Number
If applicable/known
Other adults in the household...
How many other adults are in the household?
*
Please Select
no other adults
1
2
3
4
5
6
6+
Adult 2
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
If applicable/known
Adult 3
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
If applicable/known
Adult 4
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
Adult 5
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Or just the year if you do not remember the exact date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
Adult 6
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
If applicable/known
Adult 7
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Husband
Wife
Partner
Mother
Father
Daughter
Son
Uncle
Aunt
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Email
example@example.com
Mobile
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Marriage Date
Place of Marriage
Planned Giving Envelope Number
If applicable/known
Details for other adults
Minors in the household...
How many minors are in the household?
Please Select
There are no minors.
1
2
3
4
5
6
7
7+
Minor 1
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 2
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 3
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 4
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 5
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 6
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Minor 7
*
First Name
Middle Name
Last Name
Relation to the person filling in the form
Daughter
Son
Sibling
Dependent
Other
Birthday
-
Day
-
Month
Year
Date
Gender
Female
Male
Prefer not to disclose
Religion
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Other minors
Parish Life...
Would you like to support the life of your parish through planned giving?
*
Yes
Would like more information
No
Would you or a member of your household be interested in volunteering at the Cathedral? We value and depend on our volunteers. (Please tick options below)
ACOLYTE (IF ALREADY INSTITUTED)
EXTRAORDINARY MINISTER (IF COMMISSIONED ELSEWHERE)
READER
ALTAR SERVING
YOUTH MUSIC
CATECHIST
PIETY STALL
FILIPINO COMMUNITY
CLEANING AND GENERAL MAINTENANCE (BUSY-BEE OR REGULAR)
SOCIAL COMMITTEE
AV OPERATOR AT MASS
YOUTH LEADER OR MEMBER
COUNTERS
USHER OR CAR PARK ATTENDANT (AT CHRISTMAS, EASTER, ETC.)
ST VINCENT DE PAUL (VINNIES)
OTHER
Other
More information on other volunteering you would like to do
And finally...
How long have you been a part of our Parish?
*
Please Select
I am new to the Parish.
I have been here for less than 2 years in the Parish.
I have been here for more than 2 years but less than 10 years.
I have been a part of the parish for more than 10 years.
Any comments on this census?
Please verify that you are human
*
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