Registration and Census Update

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Thank you for completing the following form, either to register as new parishioners OR as part of our 2020 Parish Census Update project! Your participation provides vital information to help us stay connected as parish communities and a collaborative - especially while many are not yet ready to return to church.

Please provide as much information as you can, but it is better to submit an incomplete form than to wait and forget to get back to it. You can always follow up with more information by emailing your parish office ([email protected] or [email protected]).

* If you need to remove this person or family from our list of registered parishioners (e.g., moved or deceased), please click this link.
The maximum number of form submissions has been reached. This form is currently not available.
- Please select your desired parish REQUIRED St. Martha Parish, Plainville St. Mary Parish, Wrentham Please fill out this field.
- Please select whether you are: Registering as a new parishioner(s) Participating in 2020 Parish Census Update
- Are you transferring from another parish? Please enter valid data.
- Family's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Family's Street Address REQUIRED Please fill out this field. Please enter valid data.
- Address Line 2 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.
- Family / Primary Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Family / Primary Cell Phone Maximum 20 characters Please enter a phone number.
- Family / Primary Email REQUIRED Please fill out this field. Please enter an email address.
- Head of Household - Full Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name if Applicable Please enter valid data.
- Personal Email Please enter an email address.
- Personal Cell Phone Number Maximum 20 characters Please enter a phone number.
- Marital Status
  Please Check One Box
  Single Married Widowed Divorced
- Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
- Religion
  Catholic, Baptist, etc.
  Please enter valid data.
- Next Adult in Household - Full Name Please enter valid data.
- Maiden Name if Applicable Please enter valid data.
- Personal Email Please enter an email address.
- Personal Cell Phone Number Maximum 20 characters Please enter a phone number.
- Marital Status
  Please Check One
  Single Married Widowed Divorced
- Date of Birth
  MM/DD/YYYY
  Please enter a date.
- Religion
  Catholic, Baptist, etc.
  Please enter valid data.
- Number of Children in Household REQUIRED
  Please Put the Number of Children in the Household
  Please fill out this field.
  
  Child 1
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 2
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 3
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 4
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 5
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 6
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 7
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 8
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 9
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
  
  Child 10
  
  Child's Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Sacraments Child Received
  Check All that Apply
  Baptism Roman Catholic   Baptism Other First Communion Confirmation
  
  If sacraments received at outside parish, please enter Name of Parish, Town and State Please enter valid data.
  
  School or Employer Please enter valid data.
  
  Does child attend religious education classes? Please enter valid data.
- Would you like to receive parish weekly offering envelopes? Please enter valid data.
- Is there someone in the house who would like to receive Communion in the home? Yes No
- Additional Family Members in Household - if Yes, please add name, DOB and relationship to Head of Household in Comments Grandparent In-Law Other
- Comments / Remarks
Submit

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