Home
Bulletins
Calendar
Flocknote
Forms and Resources
Photo Albums
Safe Environment
Stewardship of Treasure
About
Become a Parishioner
Registration
Contact Us
Staff
Sacraments & Services
Baptism
Confirmation
First Reconciliation & Eucharist
2023 First Eucharist
Mass Intentions
Matrimony
OCIA
Parish School of Religion
Prayer Line
Sacramental Record Request
St. Patrick Preschool
Ministries
Ministry Sign Up
Ministry Scheduler Pro
Knights of Columbus
Respect Life
Spiritual Adoption
Spiritual Direction
That Man Is You
Volunteer Request for Minors
Youth Ministry
Giving
|||
St. Patrick Catholic Church
Baton Rouge, LA
Contact Us
Facebook
Twitter
Instagram
Flocknote
Search
Search
Home
Bulletins
Calendar
Flocknote
Forms and Resources
Photo Albums
Safe Environment
Stewardship of Treasure
About
Become a Parishioner
Contact Us
Staff
Sacraments & Services
Baptism
Confirmation
First Reconciliation & Eucharist
Mass Intentions
Matrimony
OCIA
Parish School of Religion
Prayer Line
Sacramental Record Request
St. Patrick Preschool
Ministries
Ministry Sign Up
Ministry Scheduler Pro
Knights of Columbus
Respect Life
Spiritual Direction
That Man Is You
Volunteer Request for Minors
Youth Ministry
Giving
Confidential Census Data Form
The maximum number of form submissions has been reached. This form is currently not available.
The information in the form will be held in strict confidence for pastoral use only. Your information is never given to outside parties.
HOUSEHOLD
Family Name
Please enter valid data.
Street Address
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Home Phone
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Marital Status
None
Catholic Marriage
Annulled Marriage
Other Church Marriage
Civil Marriage
Widowed
Single
Separated
Divorced
Engaged
Cohabiting
Would you like your name, address, and phone number included in the parish directory?
REQUIRED
Yes
No
Please fill out this field.
Would you like to be added to Flocknote (our Parish communication system)?
REQUIRED
Yes
No
Please fill out this field.
HEAD OF HOUSEHOLD
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Title
None
Mr.
Mrs.
Miss
Ms.
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Nickname
Please enter valid data.
Maiden Name
Please enter valid data.
Religion
Please enter valid data.
Place of Employment/School
Please enter valid data.
Physical or Mental Disability
Please enter valid data.
Occupation
Please enter valid data.
Date of Birth
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
Gender
None
Male
Female
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Ministries that you would like to join or would like more information about:
Please enter valid data.
Children and/or Other Adults in the Household
REQUIRED
Please fill out this field.
CHILD OR OTHER ADULT 1
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 2
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 3
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 4
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 5
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 6
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 7
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 8
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 9
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 10
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 11
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
CHILD OR OTHER ADULT 12
First Name
Please enter valid data.
Last Name
Please enter valid data.
Goes by (nickname)
Please enter valid data.
Maiden Name
Please enter valid data.
Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
Please enter valid data.
Grade/Degree
Please enter valid data.
Gender
None
Male
Female
Marital Status
None
Catholic Marriage
Civil Marriage
Widowed
Single
Other Church Marriage
Cohabiting
Separated
Engaged
Annulled
Divorced
Date of Birth
Please enter valid data.
Religion
Please enter valid data.
Mental or Physical Disability
Please enter valid data.
Occupation
Please enter valid data.
Place of Employment/School
Please enter valid data.
Phone Number
Please enter valid data.
Email Address
Please enter valid data.
Baptism Date, Church, City/State
Please enter valid data.
First Eucharist Date, Church, City/State
Please enter valid data.
Confirmation Date, Church, City/State
Please enter valid data.
Marriage Date, Church, City/State
Please enter valid data.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.