Census Form Application St. Elias Cathedral Family Census Registration Form Instructions Before you begin, please make sure you have the following information for all family members: 1- Baptism date and place 2- Date and place of birth Family Name: Envelope #: Date (dd/mm/yyyy): Address City: Province: Postal Code: Home Phone Emergency phone COUPLES: Please fill both columns SINGLES: Please fill applicable column below Male Female First Name Prefix: (Mr., Rev., Dr., Etc.): First Name Prefix: (Mrs.,Ms., Dr., Etc.): Last Name (If Different): Parish Status ActiveYes Parish Status ActiveYes Date of Birth (dd/mm/yyyy): Place of Birth Date of Birth (dd/mm/yyyy): Place of Birth Email Cell Number Email Cell Number f Occupation Work Phone Occupation Work Phone 1st Language: 2st Language: 1st Language: 2st Language: Baptized (dd/mm/yyyy): Baptized (dd/mm/yyyy): Othodox Other (Please specify denomination) Othodox Other (Please specify denomination) Member of: Member of: St. Ignatius Parish Council Young Adult Ministry St. Ignatius Parish Council Young Adult Ministry Fellowship Antiochian Women Choir Member Fellowship Antiochian Women Choir Member Church School Teacher Church School Teacher Other Committees: Volunteer: Other Committees: Volunteer: Marital Status: Marital Status: Dependent Children/Parents Information Please fill the "member of" section if dependent is a child Relationship to Head of Household First Name Last Name Birthdate (dd/mm/yyyy) Birth Place Baptism Date dd/mm/yyyy) Baptism Place 1 Member of: Sunday School Teen Soyo Fellowship Altar Boy Youth Adult Ministry 2 Member of: Sunday School Teen Soyo Fellowship Altar Boy Youth Adult Ministry 3 Member of: Sunday School Teen Soyo Fellowship Altar Boy Youth Adult Ministry 4 Member of: Sunday School Teen Soyo Fellowship Altar Boy Youth Adult Ministry 5 Member of: Sunday School Teen Soyo Fellowship Altar Boy Youth Adult Ministry
