HOLY TRINITY CATHOLIC CHURCH, 1200 Alpine Church Road, Comstock Park, MI 49321

PARISH CENSUS/REGISTRATION FORM

(Please Print or Type)

general office INFORMATION

Date completed:

Giving options (circle your preference): On-Line Giving -OR- Yearly Envelope Box # _____

Please email onlinegiving@holytrinitycp.org if interested in on-line giving option.

How did you find us (please check box):

q Family

q Friend

q Close to home/work

q Yellow Pages

q Other

family INFORMATION

Family last name:

Street:

City:

State:

ZIP Code:

Home Telephone:

Previous Church Attended:

Street:

City:

State:

ZIP Code:

FULL NAME of family members in the household:

Birth date (mm-dd-yyyy):

Male

Female

Head:

q M

q F

Spouse:

q M

q F

Child – 1:

q M

q F

Child – 2:

q M

q F

Child – 3:

q M

q F

Child – 4:

q M

q F

Child – 5:

q M

q F

Child – 6:

q M

q F

(Please include all children – even those in college – unless they are separately registered.)

HEAD OF HOUSEHOLD

Cell Phone:

Maiden Name if applicable:

Occupation:

Employer:

Phone no.:

Email:

SPOUSE OF HOUSEHOLD

Cell Phone:

Maiden Name if applicable:

Occupation:

Employer:

Phone no.:

Email:

CHILDREN’S SCHOOL

School Name:

Grade

Child – 1:

Child – 2:

Child – 3:

Child – 4:

Child – 5:

Child – 6:

If your child(ren) are not enrolled in the Catholic School system, are they enrolled in Religious Formation classes?

q Yes q No

If No, please explain:

SACRAMENTAL INFORMATION

Marital Status: (Check one)

q Single

q Married

q Widowed

q Separated

q Divorce

If married, please note the following:

Date of Wedding:

City/State:

Name of Church:

Catholic Ceremony q Yes q No

If No, has your marriage been convalidated? q Yes q No

Would you like more information on Convalidation? q Yes q No

Please check Yes or No whether the following Roman Catholic Sacraments have been given to each household member. If the Sacrament was not Roman Catholic, please indicate the Faith.

Baptized

Eucharist

Confirmed

Current Faith (if not Roman Catholic)

Head

q Yes q No

Spouse

q Yes q No

Child – 1:

q Yes q No

Child – 2:

q Yes q No

Child – 3:

q Yes q No

Child – 4:

q Yes q No

Child – 5:

q Yes q No

OPTIONAL INFORMATION

Household Ethnic Identity:

African American

q Yes

Asian American

q Yes

Hispanic

q Yes

Native American

q Yes

Caucasian

q Yes

Other: ________________________

q Yes

Language(s) spoken in the home (other than English):

… For joining our parish – we look forward to seeing you at Mass!