St. James Census Form Page 2
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1
2Head of
Spouse’s
Adult or
Child
Child
Child
Child
Household
Name
Child
First Name
Or nickname
Spouse’s Name and/or
Last name if different
Marital Status
Religion
Occupation
Employer
School Attending
Present grade level /
Highest grade level reached
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Gender
Birth Date (mandatory)
Age - mm/dd/yy
Baptized
Y or N
Date and/or year if possible
Reconciliation
Y or N
Date and/or year if possible
First Communion Y or N
Date and/or year if possible
Confirmation Y or N
Date and/or year if possible
Married Y or N
Date and/or year if possible
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