Attadale Parish Census CONFIDENTIAL
Surname
*
Address
*
Home Phone
Work Phone
Mobile Number(s)
E-mail
*
Would you like to join the parish planned giving programme?
*
YES
NO
WOULD LIKE MORE INFORMATION
Would you like information on direct debit?
YES
NO
ADULTS IN THE HOUSEHOLD
HOW MANY ADULTS IN THIS HOUSEHOLD?
*
Please Select
1
2
2+
ADULT 1
*
GENDER
*
Please Select
MALE
FEMALE
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
*
OCCUPATION
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
MARRIAGE
ADULT 2
GENDER
Please Select
MALE
FEMALE
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
OCCUPATION
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
MARRIAGE
DETAILS FOR OTHER ADULTS
CHILDREN AT HOME
Are there children in this household?
YES
NO
How many children are there in this household?
Please Select
1
2
3
4
5
6
7
7+
CHILD 1
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 2
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 3
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 4
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 5
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 6
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 7
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
CHILD 8
DATE OF BIRTH
-
Month
-
Day
Year
Date
RELIGION
SCHOOL OR OTHER EDUCATIONAL INSTITUTE
SACRAMENTS RECEIVED
BAPTISM
CONFIRMATION
EUCHARIST
OTHER CHILDREN
VOLUNTEERING
The parish relies on the generosity of its members for it to thrive. Please consider your availability at this point. If you are unable to volunteer now, you may always do so in the future.
AREA OF HELP
CLEANING THE CHURCH
FLOWER ARRANGING FOR SANCTUARY
SET-UP AND SERVE MORNING TEA AFTER 9AM MASS
ACOLYTE (IF ALREADY INSTITUTED)
EXTRAORDINARY MINISTER (IF COMMISSIONED ELSEWHERE)
READER
MUSIC
CONTROLLING POWERPOINT DURING MASS
CATECHIST
CHILDREN"S LITURGY AT 9AM MASS
GARDENING AROUND CHURCH
Other
ARE YOU NEW TO THE PARISH?
Please Select
YES
NO
UPDATING DETAILS
RETURNING PARISHIONER
OPINION ON THIS FORM
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
IT WAS EASY TO USE
I FELT COMFORTABLE PROVIDING THE INFORMATION
OTHER COMMENTS ON THIS FORM
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