VOTIVE SHRINE OF THE IMMACULATE HEART OF MARY

63, HALLS ROAD, KILPAUK, CHENNAI 600010

PARISH CENSUS 2012

Dear Parishioners:

As our Parish continues to grow & expand, we are in constant need of updating our Parish Records to
keep them as accurate as possible. Please fill out this form to the best of your ability.

If you have any questions regarding this form, please call the Parish Office
044-26446007 / 044-26471510.

Thank you for your co-operation.

Yours In Christ,

Fr. Arul Devadoss N., Parish Priest

 Family Information
Head Of Family
Parish ID: For official use only
Address

Email Address
Residence No Mobile No.

BCC
Zone

Regular Mass Attendance Daily Sat 6:30pm Sun 5:45 am Sun 7:00 am Sun 8:30 am Sun 5:30 pm
Monthly Subscription
Rs.

Please fill as much information as possible

Full Name M/F DOB Date of Baptism, 1st Communion Confirmation Occupation (if retired please
Church of Y/N, Church & Y/N, Church & indicate)
Baptism Date Date

Marriage Date Which Church

Children
Full Name M/F DOB Date of Baptism, First Confirmation Education Level - School,
Church of Communion Y/N, Church & College or Occupation
Baptism Y/N, Church & Date
Date

Additional Family Members if Any (if additional sheet is required please attach another Form)
Full Name M/F Date of Date of Baptism, First Confirmation Occupation (if retired please
Birth Church of Communion Y/N Y/N & Date indicate)
dd-mm-yyyy Baptism & Date

N.B.: Please use separate forms for each family living in the same house (except Elderly Parents)
Kindly Mention if you or any of your family members are in any of the Parish Associations/Groups or if
you or any of you family members would be interested in joining.

Parish Groups/Associations
LITURGICAL MUSIC PROGRAM RELIGIOUS EDUCATION
1. Altar Boys 1. Choir Saturday 6:30 pm 1. Regular Sunday
2. Rosary & Novena (English) Catechism
3. Ushers 2. Choir Sun 5:45 am (Tamil) 2. First Holy Communion
4. Readers 3. Choir Sun 7:00 am (English) Classes
4. Choir Sun 8:30 am (Tamil) 3. Confirmation Classes
5. Choir Sun 5:30 pm (English) 4. VBS
6. Children’s Choir (English)
7. Children’s Choir (Tamil)

PARISH ORGANIZATIONS YOUTH VOLUNTEER OPPORTUNITIES

1. Vincent DePaul 1. Armour Of God (English) 1. Book Shop
2. Prayer Group 2. Tamil Youth Group 2. Church Register Entries
3. Legion Of Mary 3. YCWA 3. Decorations
4. KPWA

Association/Group
S.no. Name Existing Member Interested in Joining

Signature: Date: