Test Form Step 1 of 9 11% Family InformationHead of House First NameLast NameSpouse First NameSpouse Last NameWedding Date (mm/dd/yy)Name of ChurchCity & StateAddress Street Address Mailing Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone (Home, Work, or Mobile)Emergency ContactEmergency Contact PhoneEmergency Contact RelationshipParish Status Year Round Part Time Number of Children012345 Head of House DetailsNameDate of Birth MM slash DD slash YYYY Email EmployerOccupationWork PhoneBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State Spouse DetailsSpouse NameDate of Birth MM slash DD slash YYYY Email EmployerOccupationWork PhoneBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State 1st Child DetailsGender Male Female First NameLast NameDOB (mm/dd/yy)Place of Birth (City, State, Country)Grade in SchoolName of SchoolBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State 2nd Child DetailsGender Male Female First NameLast NameDOB (mm/dd/yy)Place of Birth (City, State, Country)Grade in SchoolName of SchoolBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State 3rd Child DetailsGender Male Female First NameLast NameDOB (mm/dd/yy)Place of BirthGrade in SchoolName of SchoolBaptism Date (dd/mm/yy)Name of ChurchCity & State1st Communion Date (dd/mm/yy)Name of ChurchCity & StateConfirmation Date (dd/mm/yy)Name of ChurchCity & State 4th Child DetailsGender Male Female First NameLast NameDOB (mm/dd/yy)Place of Birth (City, State, Country)Grade in SchoolName of SchoolBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State 5th Child DetailsGender Male Female First NameLast NameDOB (mm/dd/yy)Place of Birth (City, State, Country)Grade in SchoolName of SchoolBaptism Date (mm/dd/yy)Name of ChurchCity & State1st Communion Date (mm/dd/yy)Name of ChurchCity & StateConfirmation Date (mm/dd/yy)Name of ChurchCity & State Notes or Additional CommentsCAPTCHA
