Parish Member Information Survey
This survey expires November 30, 2024.
Name
*
First Name
Last Name
Are you married?
*
Yes
No
If YES, what is your spouse's name?
First Name
Last Name
Please list your children, including those no longer living at home.
Please provide your primary phone number.
*
Please enter a valid phone number.
Please list any other phone numbers we should have for our records.
Please provide your preferred email address.
*
example@example.com
Please list any other email addresses you would like us to use to contact you.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list any important dates (Birthdays, Baptisms, First Communions, Confirmations, Anniversaries) you would like us to have.
If there is any other information you feel we should know, please include it below.
I consent to my contact information being published in the church directory. (Only names, addresses and primary phone numbers will be included. We will NOT publish any dates.)
*
Yes
No
Do you have a family photo to share with us? If YES, you can upload it below. If NO, we have a parish photographer available to take your photo.
*
Yes, I have a photo (digital file) to upload on the form below.
No, I have no photo and would like someone to contact me to arrange for a photo.
Please enter the names of those in your photo.
Please upload your family photo here. If you are submitting a profressional photo, you must have digital copyright permission from your photographer.
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