The Church of Saint Timothy 1116 North Main Street, West Hartford, CT 06117-1209 + (860) 233-5131 + + www.sttimothywesthartford.com CONFIDENTIAL PARISH CENSUS FORM Home Phone: Mailing Address: Date: Cell Phone: Address: First Name (Wife’s maiden name in Date of Relation- Religion Bap- First Marital Wedding Church Current Grade Attend Of each member of parentheses,) or Birth ship tism? Comm- Date Attend- Occupation or CCD? household Family Name if 00/00/ [Y/N] union? ance** Or Term [Y/N] different from 0000 [Y/N] [Y/N] School KEY: *Marital Status: M = Married, N = Married, but not by the Catholic Church, S = Single, W = Widowed, D = Divorced, SE = Separated. **Church Attendance: A = Always, F = Frequent, O = Occasional, S = Seldom, N = Never. AGAIN, WELCOME TO THE ST. TIMOTHY FAMILY! Please be sure to contact us if any of the above information changes.
The Church of Saint Timothy 1116 North Main Street, West Hartford, CT 06117-1209 + (860) 233-5131 + + www.sttimothywesthartford.com CONFIDENTIAL PARISH CENSUS FORM Home Phone: Mailing Address: Date: Cell Phone: Address: First Name Of each member of household (Wife’s maiden name in parentheses,) or Family Name if different from Date of Birth 00/00/ 0000 Relation- ship Religion Bap- tism? [Y/N] First Comm- union? [Y/N] [Y/N] Marital Wedding Date Church Attend- ance** Current Occupation Or School Grade or Term Attend CCD? [Y/N] KEY: *Marital Status: M = Married, N = Married, but not by the Catholic Church, S = Single, W = Widowed, D = Divorced, SE = Separated. **Church Attendance: A = Always, F = Frequent, O = Occasional, S = Seldom, N = Never. AGAIN, WELCOME TO THE ST. TIMOTHY FAMILY! Please be sure to contact us if any of the above information changes.
Blank-Census-Form-1.docx