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Parish Census
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- Last Name of Household REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Would your household like printed collection envelopes? Yes No
- Head of Household
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Are you (head of household) interested in any of the following ministries? Usher/Greeter Lector Choir/Cantor Sacristy Catechist Hospitality Voces Verbi (Young Adult Group) Soup Kitchen Piece Makers Quilting Group Voices in the Wilderness (Charismatic Prayer Group) Knights of Columbus Legion of Mary
- Spouse (second adult in household)
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Are you (spouse) interested in any of the following ministries? Usher/Greeter Lector Choir/Cantor Sacristy Catechist Hospitality Voces Verbi (Young Adult Group) Soup Kitchen Piece Makers Quilting Group Voices in the Wilderness (Charismatic Prayer Group) Knights of Columbus Legion of Mary
- How many children do you have? REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  What sacraments has he/she recieved? Baptism 1st Communion Confirmation
  
  Is he/she interested in participating in REQUIRED Altar Boys (Boys ages 6-17) Daughters of Mary (girls ages 6-17) Not interested Please fill out this field.
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Immaculate Conception Church

Fairbanks, AK

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New to Immaculate Conception?

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