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Parish Census Form

Enter requested household information below:

Is the home phone number unlisted?

If married, wife's maiden name:

Please indicate how you would like your mailings addressed, if different from above address:

Would you like to be visited by Father, Deacon, or Sister?

Is there someone confined to home, would they like to receive Holy Communion regularly?

Would you like to enroll in ParishPay?

Do you already receive Offertory Envelopes?

If yes, what is your envelope number?

If no, would you like to receive parish Offertory Envelopes?

Enter Comments and / or Suggestions below

If you no longer wish to be a member of Our Lady of the Valley Parish check below