Census

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Parish Census Form
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Thank you for taking the time to participate in Archangel Gabriel Parish's first parish census! Please fill out the form below as completely and accurately as possible. If you have any questions, or would prefer a paper copy of the census form, please contact the Parish Office at [email protected] or 412-787-2140.
  
  HOUSEHOLD INFORMATION
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Preferred Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Preferred Email REQUIRED Please fill out this field. Please enter an email address.
  
  Would you like us to add this email address to our mailing list? REQUIRED Yes No Please fill out this field.
  
  Do we have your permission to publish any of the following contact information in a parish directory? (Please check all that apply.) Address Phone Email Please do not publish any of my contact information in a directory.
  
  Parishioner Status REQUIRED
  If you are no longer, or no longer wish to be a parishioner, there is no need to complete the rest of the survey. We will adjust our records to reflect your inactive status.
  Please fill out this field.
  
  If you are no longer a parishioner or would no longer like to be a parishioner, there is no need to complete the rest of the form. We will adjust our records accordingly. However, we do invite you to share with us why you chose to leave the parish.
  
  Main Language Spoken in the Home Please enter valid data.
  
  Do you currently receive offertory giving envelopes? Yes, and I wish to continue receiving envelopes. Yes, but I no longer need them because I am enrolled in or plan to enroll in online giving. No, and I do not wish to receive envelopes. No, but I would like to begin receiving envelopes.
  
  AGP does offer secure online giving through Faith Direct. If you'd like to learn more, please click here or visit ArchangelGabrielParish.org/Give.
  
  MAIN CONTACT INFORMATION
  Please provide the information for one adult household member who can serve as the primary contact.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Would you like us to add this email address to our mailing list? Yes No
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following special skills? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Do you possess any other special skills that you'd like to share with the parish? Please enter valid data.
  
  HOUSEHOLD MEMBERS
  Please complete the following information for all members of the household.
  
  Number of other members in the household REQUIRED Please fill out this field.
  
  Household Member 1
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 2
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 3
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 4
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 5
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 6
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 7
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 8
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 9
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Household Member 10
  
  Please indicate if this household member is an adult or minor. Adult (age 18 or older) Minor (under age 18)
  
  Relationship to Main Contact Please enter valid data.
  
  Title
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Penance First Holy Communion Confirmation
  
  Marital Status Single Married by Catholic Priest or Deacon Married by a Minister, Justice of the Peace, or other Divorced Widowed Other
  
  If divorced or widowed, have you remarried? Not Applicable No Yes
  
  Occupation or School Please enter valid data.
  
  Do you possess any of the following skills or talents? (Please check all that apply.) Carpenter Construction Cooking/Baking Electrician Gardening Graphic Design Music (Singing or Instrument) Photography Plumbing Sewing Teaching Experience Videography Writing
  
  Submit
  
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