Parish Census Form

Type of Registration

Current Parishioner Update

I/We no longer attend Little Flower Parish

Family Last Name

Envelope Number (If Known)

Date

Street Address

City

State

Zip

Do you live in the area year round or seasonally?

Year Round

Seasonally

1st Head of Household - Marital Status

1st Head of Household - First Name

1st Head of Household - Last Name

1st Head of Household - Cell Phone Number

1st Head of Household - Home Phone Number

1st Head of Household - Email Address

Do you wish to receive Parish Emails and Flocknote Notifications in case of an emergency at Little Flower?

Yes

No

1st Head of Household - Date of Birth

1st Head of Household - Occupation

2nd Head of Household - Marital Status

2nd Head of Household - First Name

2nd Head of Household - Last Name

2nd Head of Household - Cell Phone Number

2nd Head of Household - Home Phone Number

2nd Head of Household - Email Address

Do you wish to receive Parish Emails and Flocknote Notifications in case of an emergency at Little Flower?

Yes

No

2nd Head of Household - Date of Birth

2nd Head of Household - Occupation

Child 1 - First Name

Child 1 - Last Name

Child 1 - Date of Birth

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 4 - First Name

Child 4 - Last Name

Child 4 - Date of Birth

Child 5 - First Name

Child 5 - Last Name

Child 5 - Date of Birth

Child 6 - First Name

Child 6 - Last Name

Child 6 - Date of Birth

Child 7 - First Name

Child 7 - Last Name

Child 7 - Date of Birth

Child 8 - First Name

Child 8 - Last Name

Child 8 - Date of Birth

Additional Children, please list names and date of birth

I would like to learn more about:

If Other, please specify

Parish Census Form

Parish Registration Form

Contact Us

Office Hours

Connect with us