Cathedral of the Holy Cross
		Parishioner Census and Registration Form
		75 Union Park Street, Boston, MA 02118 www.holycrossboston.com
Please complete this form for the entire family in your household.
	Title		Mr.   Ms.   Mrs.   Sr.   Bro.   Rev.
	Full Name
	Address
			City		State	Zip Code
	Home Phone
	Date of Birth
	Primary Language
	Company Name
	E-mail (important)
	Mobile Phone
	Occupation
	Children (ages eighteen and under)
	Full Name						Date of Birth  (mm/dd/yyyy)
	First Communion?		YES  NO	Confirmation?				YES NO
	First Communion?		YES  NO	Confirmation?				YES  NO
	First Communion?		YES  NO	Confirmation?				YES NO
	First Communion?		YES  NO	Confirmation?				YES NO
	First Communion?		YES  NO	Confirmation?				YES NO
	First Communion?		YES  NO	Confirmation?				YES NO
	First Communion?		YES  NO	Confirmation?				YES NO
	I currently use the weekly envelope system:							YES NO
	I wish to be enrolled in the weekly envelope system:							YES NO
	Click here for printable .pdf version.