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Parish Record Update Form
Thank you for taking the time to fill out this form carefully so that we may stay in contact with you.
If you need any further assistance or would like to speak to a member of the parish staff, please call 773-525-0709.
Thank you and God bless!
Head of Household
Salutation
*
Ms.
Mrs.
Mr.
Dr.
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Preferred Phone Number
*
Phone Type
*
Home
Mobile
Business
Email Address
*
🛈
*
🛈
Marital Status
*
Single
Married
Divorced
Widowed
Birthday
*
+
Gender
*
Male
Female
Employer Name
Occupation Title
Please select any sacraments you wish for this parishioner to celebrate in the next 12 months and a member of our parish staff will be in touch with more information.
*
Not Applicable
Marriage
Communion
Confirmation
RCIA (Becoming Catholic)
Are you an alum of our parish school (St. Alphonsus Academy / Alphonsus Academy & Center for the Arts?
*
Yes
No
What year did you graduate from our parish school (St. Alphonsus Academy / Alphonsus Academy and Center for the Arts)?
*
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Is there another adult living in your household?
*
Yes
No
Are there children living in your household?
*
Yes
No