SS. PETER AND PAUL SCHOOL CENSUS

A FORM MUST BE FILLED OUT FOR EACH CHILD

CHILDS NAME ……………………………………………………………………………DOB………………GRADE…………

Last name First name

ADDRESS…………………………………………………………………………………………………………………………………………

CHILD LIVES WITH _____BOTH PARENTS _____MOTHER ____FATHER ____OTHER

RACE/ETHNICITY ____CAUCASIAN ____HISPANIC ____AMERICAN INDIAN/NATIVE ALASKAN

____ASIAN ____AFRICAN AMERICAN ____NATIVE HAWAIIAN/PACIFIC ISLANDER

____MULTI RACIAL

RELIGION AND FAMILY ____REGISTERED PARISHIONER OF SSPP ENVELOPE #_______(must be filled in)

____CATHOLIC NON-PARISHIONER ____________________ ____ ____________

NAME OF PARISH CITY

____NON CATHOLIC

# OF SIBLINGS AT SSPP _______________ NO SIBLINGS AT SSPP ___________

ONLY FILL OUT BELOW IF YOU HAVE TRANSFERRED THIS YEAR FROM ANOTHER SCHOOL TO SS. PETER & PAUL SCHOOL

_____________________________________

SCHOOL TRANSFERRED FROM