Census Update Form - The Chlirch Of St. George

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PLEASE
PRINT
Date
_
Last Name
THE
CHlIRCH OF ST.
GEORGE
CENSUS
UPDATE FORM
ADDRESS
CITY
ZIP
PHONE
IF
MARRIED:
WIFE'S MAIDEN NAME:
_
DATE OF
MARRIAGE:.
_
LAST NAME
FIRST NAME
MI
BIRTHDATE
M/D/Y
SEX
MARITAL
REUGION
SACRAMENTS
RECEIVED
STATUS
BAP
EUC
REC
CON
MAR
OCCUPATION
CHILDREN
FIRST NAME
MIDDLE
NAME
LAST NAME
SCHOOL/GRADE
WOULD YOU
LIKE
MORE
INFORMATION ON
VOI.UNTEER
ACTIVITIES,
SUCH AS:
GRllETERS~_
.. _ ._
LECTOHS_.__
EUCHAHTSTIC l\1JNISTrRS
SINGI"IG IN
THE
CHOIR
__.
KNIGHTS
OF COUIMBUS____
WOMEN'S
COUNCII".... __
~
..
_ .._
WOULD
YOU
LIKE
TO RECUIVEENVELOPES?
0
YES
0
NO
PLEASE
RETURN
TO
PARISH
OrHCE:
The
Church
of
St.
George
J
33
,
.orth
Brown Road
Long
Lake,
MN 55356
Fax:
952.404.0129
1Q.t1'lCE
USE ON.LY: OSV
CS
CMS
.....
ENV
~
P
LEASE PRINT
Revised 9·29-09
Clear Form
Print

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