Family Name: Home Phone: Address: City/State Zip: Family Email: Head of Household: First Name: Date of Birth: Cell Phone: Occupation: Religion: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Marital Status: SingleMarriedSeparatedDivorcedRemarried Date of Marriage: Church Marriage: YesNo Church Name: Celebrant: Please list any previous marriages and how they ended: For any previous marriages, was church annulment granted? YesNo When and where is the annulment record? Spouse: First Name: Date of Birth: Cell Phone: Occupation: Religion: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Marital Status: SingleMarriedSeparatedDivorcedRemarried Date of Marriage: Church Marriage: YesNo Church Name: Celebrant: Please list any previous marriages and how they ended: For any previous marriages, was church annulment granted? YesNo When and where is the annulment record? How many dependents are living at home? First Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Second Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Third Dependent First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Fourth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Fifth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Sixth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Seventh Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Eighth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Ninth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Tenth Dependent: First name: Religion Date of Birth: School/Grade: Baptized: YesNo Date: Church: Celebrant: Communion: YesNo Date: Church: Celebrant: Confirmation: YesNo Date: Church: Celebrant: Notes: