* Family Option
New Family Information
Update Existing Family Information
ID/Env:
Call St. Patrick Church at (859) 356-5151, if you do not know your ID Number or Envelope Number.
Head of Household
* Title
None
Mr.
Ms.
Mrs.
Miss
Dr.
Fr.
Msgr.
Sr.
Rev.
Deacon
Sr.
Sra
M/M
M/M
D/M
D/M
M/D
M/D
D/D
D/D
S/S
S/S
Adm
Amn
A1C
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
CMSgt
Col
Col
Col
CSM
Cmdr
Cdr
Como
CPL
Ens
1Lt
1Lt
1Lt
1SG
1st Sgt
Gen
Gen
Gen
GySgt
LCpl
Lt
Ltc
Ltc
Ltc
LCdr
Ltg
Ltg
Ltg
LtJG
Maj
Maj
Maj
MG
MG
MG
MGySgt
MSG
MSgt
MSgt
PSG
PVT
PVT
PFC
PFC
RAdm
RDML
2Lt
2Lt
2Lt
SMSgt
SGT
SFC
SGM
SMA
SP4
SrA
SSgt
SSgt
SSG
TSgt
WO
WO
WO
CWO2
CWO3
CWO4
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
* First Name
* Last Name
* Middle Name
Nickname
Relationship
Adopted
Adult
Aunt
Birth Family
Birth Father
Birth Mother
Brother
Brother-in-law
Child
Children's Father
Cousin
Daughter
Daughter-in-law
Deceased Spouse
Ex-boyfriend
Ex-girlfriend
Ex-husband
Ex-Wife
Father
Father-in-law
Fiancé
Fiancee'
Foster
Friend
Future In-law
Grandaughter
Grandchild
Grandfather
Grandmother
Grandparents
Grandson
Great Grandmother
Great Grandson
Head
Head-Female
Head-Male
Husband
In-Law
Mother
Mother-in-law
Neighbor
Nephew
Niece
Other
Parent
Parents
Sister
Sister-in-law
Son
Son-in-law
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Adult
Maiden Name
Ethnicity
American
Asian
Asian Indian
Biracial
Black
Caucasian
Hispanic
Latin
Vietnamese
White
* Birth Date
* Gender
Female Male
Grade/Degree
Preschool
K
1
2
3
4
5
6
7
8
9
10
11
12
Adult
Masters
Bachelors
Associate
Some College
College Grad
High School Grad
Language
Bilingual
English
Spanish
* Marital Status
Church Marriage
Divorced
Engaged
Married
Other
Remarried
Sacrament of Matrimony
Separated
Single
Widowed
Phone 1
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 2
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 3
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Email 1
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Email 2
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism
Yes
No
Date
* Reconcil
Yes
No
Date
* 1st Comm
Yes
No
Date
* Confirm
Yes
No
Date
* Marriage
Yes
No
Date
Ministries
Ministry 1
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Ministry 2
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talents
Talent 1
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talent 2
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Remarks
Spouse
Title
None
Mr.
Ms.
Mrs.
Miss
Dr.
Fr.
Msgr.
Sr.
Rev.
Deacon
Sr.
Sra
M/M
M/M
D/M
D/M
M/D
M/D
D/D
D/D
S/S
S/S
Adm
Amn
A1C
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
CMSgt
Col
Col
Col
CSM
Cmdr
Cdr
Como
CPL
Ens
1Lt
1Lt
1Lt
1SG
1st Sgt
Gen
Gen
Gen
GySgt
LCpl
Lt
Ltc
Ltc
Ltc
LCdr
Ltg
Ltg
Ltg
LtJG
Maj
Maj
Maj
MG
MG
MG
MGySgt
MSG
MSgt
MSgt
PSG
PVT
PVT
PFC
PFC
RAdm
RDML
2Lt
2Lt
2Lt
SMSgt
SGT
SFC
SGM
SMA
SP4
SrA
SSgt
SSgt
SSG
TSgt
WO
WO
WO
CWO2
CWO3
CWO4
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
First Name
Last Name
Middle Name
Nickname
Relationship
Adopted
Adult
Aunt
Birth Family
Birth Father
Birth Mother
Brother
Brother-in-law
Child
Children's Father
Cousin
Daughter
Daughter-in-law
Deceased Spouse
Ex-boyfriend
Ex-girlfriend
Ex-husband
Ex-Wife
Father
Father-in-law
Fiancé
Fiancee'
Foster
Friend
Future In-law
Grandaughter
Grandchild
Grandfather
Grandmother
Grandparents
Grandson
Great Grandmother
Great Grandson
Head
Head-Female
Head-Male
Husband
In-Law
Mother
Mother-in-law
Neighbor
Nephew
Niece
Other
Parent
Parents
Sister
Sister-in-law
Son
Son-in-law
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Adult
Maiden Name
Ethnicity
American
Asian
Asian Indian
Biracial
Black
Caucasian
Hispanic
Latin
Vietnamese
White
Birth Date
Gender
Female Male
Grade/Degree
Preschool
K
1
2
3
4
5
6
7
8
9
10
11
12
Adult
Masters
Bachelors
Associate
Some College
College Grad
High School Grad
Language
Bilingual
English
Spanish
Marital Status
Church Marriage
Divorced
Engaged
Married
Other
Remarried
Sacrament of Matrimony
Separated
Single
Widowed
Phone 1
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 2
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 3
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 4
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Email 1
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Email 2
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Email 3
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Email 4
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Sacraments
Baptism
Yes
No
Date
Reconcil
Yes
No
Date
1st Comm
Yes
No
Date
Confirm
Yes
No
Date
Marriage
Yes
No
Date
Ministries
Ministry 1
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Ministry 2
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talents
Talent 1
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talent 2
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Remarks
Family Street Address
* Line 1
Line 2
* City
* State
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Federated States of Micronesia (FM)
Florida (FL)
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Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
* ZIP
Family Mailing Address
Line 1
Line 2
City
State
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
ZIP
Family Alternate Address
Line 1
Line 2
City
State
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
* Primary
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Other
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
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Send Email Instead of Mail When Possible
Family Remarks
Remarks
Member 1
Type
Head of Household
Spouse
Adult
Young Adult
Child
Other
Title
None
Mr.
Ms.
Mrs.
Miss
Dr.
Fr.
Msgr.
Sr.
Rev.
Deacon
Sr.
Sra
M/M
M/M
D/M
D/M
M/D
M/D
D/D
D/D
S/S
S/S
Adm
Amn
A1C
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
CMSgt
Col
Col
Col
CSM
Cmdr
Cdr
Como
CPL
Ens
1Lt
1Lt
1Lt
1SG
1st Sgt
Gen
Gen
Gen
GySgt
LCpl
Lt
Ltc
Ltc
Ltc
LCdr
Ltg
Ltg
Ltg
LtJG
Maj
Maj
Maj
MG
MG
MG
MGySgt
MSG
MSgt
MSgt
PSG
PVT
PVT
PFC
PFC
RAdm
RDML
2Lt
2Lt
2Lt
SMSgt
SGT
SFC
SGM
SMA
SP4
SrA
SSgt
SSgt
SSG
TSgt
WO
WO
WO
CWO2
CWO3
CWO4
* Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
* First Name
* Last Name
* Middle Name
Nickname
* Relationship
Adopted
Adult
Aunt
Birth Family
Birth Father
Birth Mother
Brother
Brother-in-law
Child
Children's Father
Cousin
Daughter
Daughter-in-law
Deceased Spouse
Ex-boyfriend
Ex-girlfriend
Ex-husband
Ex-Wife
Father
Father-in-law
Fiancé
Fiancee'
Foster
Friend
Future In-law
Grandaughter
Grandchild
Grandfather
Grandmother
Grandparents
Grandson
Great Grandmother
Great Grandson
Head
Head-Female
Head-Male
Husband
In-Law
Mother
Mother-in-law
Neighbor
Nephew
Niece
Other
Parent
Parents
Sister
Sister-in-law
Son
Son-in-law
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Adult
Maiden Name
Ethnicity
American
Asian
Asian Indian
Biracial
Black
Caucasian
Hispanic
Latin
Vietnamese
White
* Birth Date
* Gender
Female Male
Grade/Degree
Preschool
K
1
2
3
4
5
6
7
8
9
10
11
12
Adult
Masters
Bachelors
Associate
Some College
College Grad
High School Grad
Language
Bilingual
English
Spanish
* Marital Status
Church Marriage
Divorced
Engaged
Married
Other
Remarried
Sacrament of Matrimony
Separated
Single
Widowed
* Phone 1
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 2
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 3
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
Phone 4
?
Ans Serv
Bus Phone
CCD Dad
CCD Dad Cellular
CCD Dad Work
CCD Grandma
CCD Mom
CCD Mom Cellular
CCD Mom Home
CCD Mom Work
CCD Primary Grandma
Cell
Cellular
Daughter Cell
Daughter Home
Daughter-in-Law Cell
Emergency Contact
Family
Fax
Grandparent Cell
Grandparent Home
Home
Home Phone
Husband Cell
Husband Work
Nursing Home
Office
Other
Pager
Parents
Sch Ofc
School Dad Cellular
School Mom Cellular
Sister Cell
Sister-in-Law Cell
Son-in-law
Son's Cell
TDD
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Revol
Text-Simple Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Virgin Mobile
Text-Voyager Mobile
Wife Cell
Wife Work
Work
Youth Cell
Other
( )
-
Unlisted
* Email 1
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Email 2
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Send Email Instead of Mail When Possible
Email 3
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Email 4
CCD Dad Email
CCD Mom Email
CCD Primary Email
Email
Email 2
Grandparent
Husband Email
Parents
Primary Email
Wife Email
Work
Work Email
Youth Email
Unlisted
Sacraments
* Baptism
Yes
No
Date
* Reconcil
Yes
No
Date
* 1st Comm
Yes
No
Date
* Confirm
Yes
No
Date
* Marriage
Yes
No
Date
Ministries
Ministry 1
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Ministry 2
Altar Society
Bereavement Committee
CCD Teacher
Choir
EMHC
Greeter
Lector
Music
Parish Nursing
Server
Teacher
Usher
Volunteer
Welcome Committee
Youth Ministry
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talents
Talent 1
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Talent 2
Construction
Cooking
Education
Sewing
Interested in Joining
Active
Inactive
Interested
No Longer Involved
Renewed
Remarks