Census 2020

It's been a while since we asked our wonderful Saint Dominic's families to update their contact information. Please help us update our records and keep you informed of the happenings in our parish of Saint Dominic's! Please have one person in your household complete the form below.

If you have never registered at St. Dominic's before, please complete our Registration Form here instead.

Head of Household Name *

First

Last

Marital Status *

Single Married Divorced Separated

Occupation *

Are you employed in one of the following fields? (If retired, please indicate if you were a member of one of these fields when working) You may choose more than one answer. *

Blue Mass - First Responders Red Mass - Legal Professionals White Mass - Health Professionals Green Mass - Current/Former Military

Spouse' Name *

First

Last

Spouse's Occupation *

Are you employed in one of the following fields? (If retired, please indicate if you were a member of one of these fields when working) You may choose more than one answer. *

Blue Mass - First Responders Red Mass - Legal Professionals White Mass - Health Professionals Green Mass - Current/Former Military

Please tell us the names of the children in your household. (Don't worry...we've given you lots of spaces for names!)

Child 1 *

First

Last

Child 1 Date of Birth *

Child 2 *

First

Last

Child 2 Date of Birth *

Child 3 *

First

Last

Child 3 Date of Birth *

Child 4 *

First

Last

Child 4 Date of Birth *

Child 5 *

First

Last

Child 5 Date of Birth *

Child 6 *

First

Last

Child 6 Date of Birth *

Child 7 *

First

Last

Child 7 Date of Birth *

Child 8 *

First

Last

Child 8 Date of Birth *

Child 9 *

First

Last

Child 9 Date of Birth *

Child 10 *

First

Last

Child 10 Date of Birth *

Help us update our Census information!