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St. Patrick Catholic Church
Baton Rouge, LA
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About
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Staff
Contact Us
Sacraments & Services
Confirmation
First Reconciliation & Eucharist
Matrimony
Baptism
RCIA
Parish School of Religion
Sacramental Record Request
Mass Intentions
St. Patrick Preschool
Ministries
Ministry Update
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Knights of Columbus
Ministry Scheduler Pro
Respect Life
Spiritual Direction
That Man Is You
Vacation Bible School
Youth Ministry
Giving
Confidential Census Data Form
The maximum number of form submissions has been reached. This form is currently not available.
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HOUSEHOLD
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HEAD OF HOUSEHOLD
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Last Name
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Date of Birth
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Email
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Ministries that you would like to join or would like more information about:
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Children and/or Other Adults in the Household
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CHILD OR OTHER ADULT 1
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IV
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First Eucharist Date, Church, City/State
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CHILD OR OTHER ADULT 2
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CHILD OR OTHER ADULT 3
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CHILD OR OTHER ADULT 4
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Title
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CHILD OR OTHER ADULT 5
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Goes by (nickname)
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Title
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Mr.
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Ms.
Miss
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Jr.
Sr.
II
III
IV
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Gender
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CHILD OR OTHER ADULT 6
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Title
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Mr.
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Jr.
Sr.
II
III
IV
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Grade/Degree
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Gender
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Marital Status
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Occupation
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Email Address
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 7
First Name
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Goes by (nickname)
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Maiden Name
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Title
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Mr.
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Ms.
Miss
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Jr.
Sr.
II
III
IV
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Grade/Degree
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Gender
None
Male
Female
Marital Status
None
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 8
First Name
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Last Name
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Goes by (nickname)
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Maiden Name
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Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
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Grade/Degree
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Gender
None
Male
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Marital Status
None
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 9
First Name
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Last Name
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Goes by (nickname)
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Maiden Name
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Title
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Mr.
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Ms.
Miss
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Jr.
Sr.
II
III
IV
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Grade/Degree
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Gender
None
Male
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None
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Email Address
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 10
First Name
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Last Name
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Goes by (nickname)
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Maiden Name
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Title
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Mr.
Mrs.
Ms.
Miss
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Jr.
Sr.
II
III
IV
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Grade/Degree
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Gender
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 11
First Name
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Last Name
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Goes by (nickname)
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Maiden Name
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Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
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Grade/Degree
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Gender
None
Male
Female
Marital Status
None
Catholic Marriage
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Phone Number
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Email Address
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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CHILD OR OTHER ADULT 12
First Name
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Last Name
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Goes by (nickname)
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Maiden Name
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Title
None
Mr.
Mrs.
Ms.
Miss
Dr.
Suffix
None
Jr.
Sr.
II
III
IV
Relationship to Head of Household
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Grade/Degree
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Gender
None
Male
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Marital Status
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Date of Birth
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Occupation
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Phone Number
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Email Address
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Baptism Date, Church, City/State
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First Eucharist Date, Church, City/State
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Confirmation Date, Church, City/State
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Marriage Date, Church, City/State
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