St

St. Basil the Great Catholic Faith Community

1200 Tuolumne Street, Vallejo California (707) 644-5251 Fax: (707) 644-1243

Parish Registration and Census Form

Dear Parishioners:

The Parish computer software program is specifically designed for Catholic Churches. The database is very extensive, but the effective use of the system will depend on the quality of the information we input. Please take a few minutes and complete this census form for you and your family. The more information we have, the better we will be able to serve you. This is a long form, you will need to scroll to the bottom, to ensure you have filled out all of the fields you can. You may click the print button, if you wish a copy for your records. Please use the Tab key to move between the boxes, and the shift + tab keys to move backwards among the boxes. When you click the Submit button, this information will be e-mailed to the parish, and confidentiality is ensured. Thank you in advance for your cooperation. Father Leon

Date Family Name Head of the household

Spouse Maiden Name Family E-mail Address

Address City Zip Code Home Phone Unlisted

Head of house hold Work phone Head of house hold E-mail

Spouse Work phone Spouse E-mail Primary Language at home

How should Mail to your home be addressed - please click the down arrow and select one

Marital Status If married please complete the following fields

Date of Church Wedding Church Name City and State

Civil Marriage Date

Do you receive weekly collection envelopes Would you like us to send you some envelopes

Individual Information	Head of Household	Spouse	Child (1st)
Last Name
First Name
Middle Name
Date of Birth
Baptized
Church Baptized in
City and State of Baptism
First Eucharist
Church First Eucharist celebrated
City and State of First Eucharist
Confirmed
Church where Confirmed
City and State where Confirmed
Religion
Occupation
Gender
Ethnicity / Race (select one)

Individual Information	Child (2nd)	Child (3rd)	Child (4th)
Last Name
First Name
Middle Name
Date of Birth
Baptized
Church Baptized in
City and State of Baptism
First Eucharist
Church First Eucharist celebrated
City and State of First Eucharist
Confirmed
Church where Confirmed
City and State where Confirmed
Religion
Occupation
Gender
Ethnicity / Race (select one)

FOR OFFICE USE ONLY - Env. # EFT Route # T-Card

I Participate in the following Ministries - H - Head of House Hold, S - Spouse, C - Child, O - Other (Select all that apply)

Eucharistic Ministers	HSCO	St. Basil's School Fac./Staff	HSCO	Lazarus Ministry	HSCO
Lectors	HSCO	St. Basil's School - Parent	HSCO	St. Vincent de Paul Soc.	HSCO
Altar Servers	HSCO	Religious Ed. Fac./Staff	HSCO	Finance Council	HSCO
Liturgical Dancers	HSCO	RCIA	HSCO	Freedom Years (Seniors)	HSCO
Hospitality	HSCO	Engaged Encounter	HSCO	Guadalupanos of St. Basil	HSCO
Music Ministry	HSCO	Marriage Preparation	HSCO	Couples for Christ	HSCO
Environment	HSCO	Baptism Preparation	HSCO	Ministry to the Sick	HSCO
Friday Adoration	HSCO	Building & Maint. Com.	HSCO	Altar Society	HSCO
Mother of Perpetual Help	HSCO	Stewardship Committee	HSCO	Other	HSCO
Charismatic Prayer	HSCO	Parish Advisory Board	HSCO
Legion of Mary	HSCO	Teen Apostles in Christ	HSCO

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