SAINT JOSEPH ROMAN CATHOLIC CHURCH
PARISH CENSUS UPDATE/REGISTRATION FORM
Please do the best you can in completing ALL information so we can update our records to better serve you. Please print all information. When finished put in an envelope and drop in the offertory basket, return to the church office or mail to Saint Joseph Church, 623 E. Third Street, Bellwood, PA 16617. This information is strictly confidential for pastoral use only and will not be given out to unauthorized personnel.
Family Name: _____________________________________
Current Church Envelope Number: ______
Home Address: ___________________________________________________________
Mailing Address (if different from home): __________________________________________________
Home Phone: ____________________________
Information regarding Head of Household
Full Name: ___________________________________________ Title (Mr. Mrs. Ms. Dr. etc.): ________
Maiden Name: _________________ Date and place of Birth: ___________________________________
Religion: ___________________________ Occupation: ______________________________________
Cell Phone: _____________ Home Phone: _______________ E-mail: ____________________________
Relationship Status: ☐Single ☐ Married ☐ Remarried ☐Widowed ☐Divorced ☐Separated
Sacraments received:
BAPTISM Date: ___________ Church & City: __________________________________
FIRST COMMUNION Date: ___________ Church & City: __________________________________
CONFIRMATION: Date: ___________ Church & City: __________________________________
MARRIAGE(S): Date: ___________ Church & City: __________________________________
Date: ___________ Church & City: __________________________________
Was this a sacramental marriage within the Catholic Church? ☐ Yes ☐ No
If divorced was there an annulment granted? ☐ Yes ☐ No
If no Church Marriage, Date & Place of Marriage, performed by whom: _________________________
___________________________________________________________________________________
Information regarding Spouse
Full Name: ___________________________________________ Title (Mr. Mrs. Ms. Dr. etc.): ________
Maiden Name: _________________ Date and place of Birth: ___________________________________
Religion: ___________________________ Occupation: ______________________________________
Cell Phone: _____________ Home Phone: _______________ E-mail: ____________________________
Relationship Status: ☐Single ☐ Married ☐ Remarried ☐Widowed ☐Divorced ☐Separated
Sacraments received:
BAPTISM Date: ___________ Church & City: __________________________________
FIRST COMMUNION Date: ___________ Church & City: __________________________________
CONFIRMATION: Date: ___________ Church & City: __________________________________
MARRIAGE(S): Date: ___________ Church & City: __________________________________
Date: ___________ Church & City: __________________________________
Was this a sacramental marriage within the Catholic Church? ☐ Yes ☐ No
If divorced was there an annulment granted? ☐ Yes ☐ No
If no Church Marriage, Date & Place of Marriage & performed by whom: ________________________
____________________________________________________________________________________
Single Children Living in Household or away at School: (list below)
| NAME
Date & Place of Birth |
Sex (M/F) | Current School &
Grade Attending |
Religion | Baptism | First Communion | Confirmation | |
| 1. | Date:
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Grown Independent Children: (list below) (Note: This includes “adult children” those who are working or who have completed high school or college,
regardless of residence. These should fill out their own sensus/membership form – either here at Saint Joseph Parish or at the parish where they attend.)
| NAME
Date & Place of Birth |
Sex (M/F) | Current Occupation | Religion | Baptism | First Communion | Confirmation | Marriage: | |
| 1. | Date:
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| 4. | Date:
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| 5. | Date:
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How do you prefer supporting the Church financially?
☐ Electronic-Giving ☐ Envelopes/Monthly ☐ Envelopes/Weekly ☐ Cash ☐ None
In which ministries would you be interested in sharing your talents?
Pastoral Ministries:
☐ Parish Pastoral Council ☐ Parish Finance Council ☐ Spiritual Life Committee
☐ Parish/Social Life Committee ☐ Maintenance Committee ☐ Fundraising Committee
☐ Children & Youth Ministry ☐ Religious Education
Liturgical Ministries:
☐ Altar Servers
☐ Extraordinary Ministers of Holy Communion
☐ Lector
☐ Usher
☐ Music & Choir Ministry
☐ Ministry to the Poor and Sick
☐ Ministers of Hospitality
☐ Knights of Columbus
☐ Ministry to the Elderly and Homebound
☐ Other: _________________________________
Do you have any particular needs? ____________________________________________________
Comments: ____________________________________________________________________________________