Our Lady of Lourdes Saskatoon Census

Our Lady of Lourdes 1224 - 12th Street East - Saskatoon SK S7H 5V2

Registration/Census Personal Information
Family Name*

Have Mail addressed toFamily Last Name
Primary Phone*
Format: (000) 000-0000.
Address*

Mailing Address

Street Address Line 2

CityProvPostalState / Province

Postal / Zip Code
Email Address*
Year you became parishioners
5pm SaturdaySunday10am
YesNoWould like toI give online
Envelope Number
If Applicable
For Each Family Member over the age of 18, list the details on each person, start with the Envelope Holder/Primary Donor, ( include all children over 18yrs old if still living in the same house), or other adult relatives living in the same household/family.

Add family members (children 17 years and under) in the area on the next page

All the information contained on this form will be for Parish & Diocese use only, For all aspects of parish life, unless otherwise requested.
Family member #1 (primary donor)
Name*

First NameLast Name
Birth Date

MonthDayYear
Marital status
If applicable
MaleFemale
Family Role
YesNo
Envelope#
If applicable
Religion
Occupation
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School/Grade/Program
If Applicable
Email
example@example.com
Maiden Name
If applicable
Yes
ReconciliationFirst EucharistConfirmationMarriage
Family member #2- over 18 yrs old-still living at home
Name

First NameLast Name
Birth Date

MonthDayYear
Marital status
If applicable
MaleFemale
Family Role
YesNo
Envelope#
Religion
Occupation
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School and Grade
If Applicable
Email
example@example.com
Maiden Name
If applicable
Yes
ReconciliationFirst EucharistConfirmationMarriage
Family member #3- over 18 yrs old-still living at home
Name

First NameLast Name
Birth Date

MonthDayYear
Marital status
If applicable
MaleFemale
Family Role
YesNo
Envelope#
Religion
Occupation
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School and Grade
If Applicable
Email
example@example.com
Maiden Name
If applicable
Yes
ReconciliationFirst EucharistConfirmationMarriage
Family member #4- over 18 yrs old-still living at home
Name

First NameLast Name
Birth Date

MonthDayYear
Marital status
If applicable
MaleFemale
Family Role
YesNo
Envelope#
Religion
Occupation
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School and Grade
If Applicable
Email
example@example.com
Maiden Name
If applicable
Yes
ReconciliationFirst EucharistConfirmationMarriage
Family member #5 - over 18 yrs old-still living at home
Name

First NameLast Name
Birth Date

MonthDayYear
Marital status
if applicable
MaleFemale
Family Role
YesNo
Envelope#
Religion
Occupation
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School and Grade
If Applicable
Email
example@example.com
Maiden Name
If applicable
Yes
ReconciliationFirst EucharistConfirmationMarriage

- Add all immediate family members

What do you appreciate most about Our Lady of Lourdes Parish life and programming?
YesNoHave no opinion
I am as active as I'd like to beI would like to learn more about these programsI don't, by choice, take part in parish programs
Suggestions for parish ministry and programming?
Any other comments you'd like to share with our Parish Council and Pastor?
Should be Empty:

Family member #1 (primary donor)

Family member #2- over 18 yrs old-still living at home

Family member #3- over 18 yrs old-still living at home

Family member #4- over 18 yrs old-still living at home

Family member #5 - over 18 yrs old-still living at home