Parish Census YOUR HOUSEHOLD DETAILSPlease fill in the below contact details for your household.Address Street Address Address Line 2 City ZIP / Postal Code Phone number (for primary contact)Email (for primary contact) How many people live at the above address?Please enter a number from 1 to 10.Include both adults and children.            WHO IS IN YOUR HOUSEHOLD? (ADULTS)This section is about ADULTS ONLY that permanently live in your household. You can add a new entry for each household member at the end of each section. There is a separate section for members of your household under the age of 18.PERSON 1 (PRIMARY CONTACT)Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990Mobile PhoneEmail Occupation Is this individual Catholic or Non-Catholic? Catholic Non-Catholic Do you want to add a second person to your entry? Yes No HiddenPerson 2PERSON 2Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990Occupation Is this individual Catholic or Non-Catholic? Catholic Non-Catholic Do you want to add a third person to your entry? Yes No HiddenPerson 3PERSON 3Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990Occupation Is this individual Catholic or Non-Catholic? Catholic Non-Catholic Do you want to add a fourth person to your entry? Yes No HiddenPerson 4PERSON 4Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990Occupation Is this individual Catholic or Non-Catholic? Catholic Non-Catholic Do you want to add a fifth person to your entry? Yes No HiddenPerson 5PERSON 4Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990Occupation Is this individual Catholic or Non-Catholic? Catholic Non-Catholic                   WHO IS IN YOUR HOUSEHOLD? (UNDER 18s)This section is about children/under 18s that permanently live in your household. You can add a new entry for each household member at the end of each section.Are there any members of your household under the age of 18? Yes No Child 1Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990What year/stage of education are they in?NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Advanced education (University/Apprenticeship etc)OtherName of Nursery/School/College/University What sacraments have they received? Baptism Communion Confirmation Do you want to add a second child to your entry? Yes No Child 2Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990What year/stage of education are they in?NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Advanced education (University/Apprenticeship etc)OtherName of Nursery/School/College/University What sacraments have they received? Baptism Communion Confirmation Do you want to add a third child to your entry? Yes No Child 3Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990What year/stage of education are they in?NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Advanced education (University/Apprenticeship etc)OtherName of Nursery/School/College/University What sacraments have they received? Baptism Communion Confirmation Do you want to add a fourth child to your entry? Yes No Child 4Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990What year/stage of education are they in?NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Advanced education (University/Apprenticeship etc)OtherName of Nursery/School/College/University What sacraments have they received? Baptism Communion Confirmation Do you want to add a fifth child to your entry? Yes No Child 5Name First Last Date of Birth Day Month Year Input as dd/mm/yyyy e.g. 01/01/1990What year/stage of education are they in?NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13Advanced education (University/Apprenticeship etc)OtherName of Nursery/School/College/University What sacraments have they received? Baptism Communion Confirmation             MASSWhich Mass do you usually attend:* Sunday 9.30am Sunday 11.00am Sunday 6.00pm Does anyone in your household require additional support to attend Mass due to any special needs and/or disabilities? Yes No You have selected Yes - please provide further details:            YOUR ROLE IN THE PARISHAreas of parish life that household members are involved in already or would like to become involved in. Training is available for these tasks, so if you would like to get involved, please don’t hesitate! Parishioners with experience will help.LITURGY - Parish WorshipI am already involved in one or more of the following liturgical activities: Reader Eucharistic Minister Altar Server Choir Playing a Musical Instrument Welcoming people at Mass (You can select multiple options)I would like to be involved in one or more of the following liturgical activities: Reader Eucharistic Minister Altar Server Choir Playing a Musical Instrument Welcoming people at Mass (You can select multiple options)CARING FOR ONE ANOTHERI am already involved in one or more of the following parish care activities: Visiting the Housebound Using language skills Bringing the elderly to Mass Saint Vincent de Paul Society Bereavement Group Parish Ladies Guild (You can select multiple options)I would like to be involved in one or more of the following parish care activities: Visiting the Housebound Using language skills Bringing the elderly to Mass Saint Vincent de Paul Society Bereavement Group Parish Ladies Guild (You can select multiple options)HANDING ON OUR FAITHI am already involved in one or more of the following faith education activities: Baptism Preparation Reconciliation First Holy Communion Confirmation Children's Liturgy Faith Study/Prayer Group (You can select multiple options)I would like to be involved in one or more of the following faith education activities: Baptism Preparation Reconciliation First Holy Communion Confirmation Children's Liturgy Faith Study/Prayer Group (You can select multiple options)BEHIND THE SCENESI am already involved in one or more of the following behind-the-scenes activities: Fundraising Organising social events Basic DIY (Changing light bulbs, plumbing, rubbish clearance etc.) Restoration, repairs and decoration Cleaning the churches Flower arranging (You can select multiple options)I would like to be involved in one or more of the following behind-the-scenes activities: Fundraising Organising social events Basic DIY (Changing light bulbs, plumbing, rubbish clearance etc.) Restoration, repairs and decoration Cleaning the churches Flower arranging (You can select multiple options)            FINANCIAL CONTRIBUTIONS TO THE PARISHDo you financially contribute to the parish? Yes No How do you contribute to the parish? I use the parish envelopes I give by standing order I give to the loose collection Would you like to know more about planned giving? Yes No             ANY OTHER INFORMATIONPlease add any further information or comments here:            COMMUNICATION CONSENTProtecting your privacy: Your personal details are required for the specific purpose of processing the parish census and will not be shared outside of the parish. The information will be held on file and stored securely and only used for the purposes of the census and parish administration. The parish is part of the Diocese of Leeds and personal data is processed in accordance with the diocese’s Privacy Notice which is available at https://www.dioceseofleeds.org.uk/privacy-notice/ or from DPO@dioceseofleeds.org.uk. By giving us your email address and telephone number, you consent to being contacted via this method.Consent I consent for this data to be processed as per the terms and conditions, the Diocese of Leeds privacy policy & consent to receiving communication via email or telephone.