Instructions
Please indicate your child's grade for the 2024-2025 Academic School Year.
Head of Household
Title
None
Mr.
Mr.
Ms.
Ms.
Mrs.
Mrs.
Miss
Miss
Dr.
Dr.
Fr.
Fr.
Msgr.
Msgr.
Sr.
Sr.
Rev.
Rev.
Deacon
Deacon
Sr.
Sr.
Sra
Sra
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
D/M
D/M
D/M
D/M
M/D
M/D
M/D
M/D
D/D
D/D
D/D
D/D
S/S
S/S
S/S
S/S
Adm
Adm
Amn
Amn
A1C
A1C
BG
BG
BG
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
CMSgt
CMSgt
Col
Col
Col
Col
Col
Col
CSM
CSM
Cmdr
Cmdr
Cdr
Cdr
Como
Como
CPL
CPL
Ens
Ens
1Lt
1Lt
1Lt
1Lt
1Lt
1Lt
1SG
1SG
1st Sgt
1st Sgt
Gen
Gen
Gen
Gen
Gen
Gen
GySgt
GySgt
LCpl
LCpl
Lt
Lt
Ltc
Ltc
Ltc
Ltc
Ltc
Ltc
LCdr
LCdr
Ltg
Ltg
Ltg
Ltg
Ltg
Ltg
LtJG
LtJG
Maj
Maj
Maj
Maj
Maj
Maj
MG
MG
MG
MG
MG
MG
MGySgt
MGySgt
MSG
MSG
MSgt
MSgt
MSgt
MSgt
PSG
PSG
PVT
PVT
PVT
PVT
PFC
PFC
PFC
PFC
RAdm
RAdm
RDML
RDML
2Lt
2Lt
2Lt
2Lt
2Lt
2Lt
SMSgt
SMSgt
SGT
SGT
SFC
SFC
SGM
SGM
SMA
SMA
SP4
SP4
SrA
SrA
SSgt
SSgt
SSgt
SSgt
SSG
SSG
TSgt
TSgt
WO
WO
WO
WO
WO
WO
CWO2
CWO2
CWO3
CWO3
CWO4
CWO4
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
* First Name
* Last Name
Middle Name
* Relationship
Adopted
Adult
Aunt
B
Brother
Brother-In-Law
Child
Cousin
Daughter
Daughter in law
Daughter-in-Law
Father
Fiancee
Foster
Friend
Grandaughter
Grandchild
Grandfather
Grandmother
Grandson
Head
Head 2
Head of Household
Head-Female
Head-Male
Husband
In law
In-Law
In-Laws
Mother
Mother-In-Law
Nephew
Niece
Other
Sister
Sister in law
Sister-In-Law
Son
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Ad
Young Adult
* Gender
Male
Female
* Language
Amer Sign/Spanish
Arabic,Russian,Spanish
Bisany
Canadian French
Czech/English
Czech/Russian
English
English/Arabic
English/Tagulog
Filipino
Filipino/Chinese
Filipino/French
Filipino/Spanish
French
French & Spanish
French-Creole
French/English
French/German/Spanish
German/English
Ghanaian
Greek
Haition Creol,French
Interperatur To Deaf
Interpreter To The Deaf
Italian
Japanese
Korean
Korean/English
Mandarin Chinese Cantonese
Nicarguenses
Okin/French/Portuguese
Polish
Portuguese
Russian
See File
Spanish
Spanish/English
Spanish/Italian
Spanish/Latin
Spanish/Portuguese
Tagalog & Bisaya
Tagalog & Bisaya
Tagalog,Visayan, English
Tagalog/English
Thai/Lao
Tigranya/Italian
Vietnamese
Marital Status
Anglican
Annulled
Church Marriage
Divorced
Lutheran
Married
Presbyterian
Separated
Single
Widowed
Widower
* Religion
Anglican
Asatru
Assembley Of God
Baptist
Bretheren
Buddhist
Byz. Catholic
Catholic
Christian
Christian Science
Church Of Christ
Church Of England
Church Of God
Church Of the Brethern
Congregational
Coptic
Disciples Of Christ
Eastern Orthodox
Episcopalian
Evangelical
Greek Catholic
Greek Orthodox
Gregorian Orthodox
Hindu
Jewish
Latter Day Of Saints
Lutheran
Methodist
Moorish American
Mormon
Muslim
Nazarene
Non-Denominational
None
Orthodox
Pentacostal
Presbyterian
Protestant
Reformed
Russian Orthodox
Russion Orthodox
Seventh Day Adventist
Southern Baptist
Speech Pathologist
Ucc
Ukranian Catholic
Ukranian Orthodox
Unitarian
United Church of Christ
Uniting Church Australia
Unknown
World-Wide Church Of God
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
* Phone 1
Alternate Address
Ans Serv
Bus Ph
Cellular
Cellular-Verizon
Daughter
Emerg.
Father
Fax
Finance
Grandmother
Her Cell
Her work
Her/Work
His Cell
His work
His/Work
Home Ph.
Husband Cell
Husband Work
Office
Other
Pager
Sch Ofc
Self
T4611
Tdd
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
Wife
Wife Cell
Wife Work
Work
( )
-
Unlisted
Email 1
Family
Her
His
Husband
Husband Work
mother
self
self work
spouse
step mother
Wife
Wife Work
Unlisted
Send Email Instead of Mail When Possible
Spouse
Title
None
Mr.
Mr.
Ms.
Ms.
Mrs.
Mrs.
Miss
Miss
Dr.
Dr.
Fr.
Fr.
Msgr.
Msgr.
Sr.
Sr.
Rev.
Rev.
Deacon
Deacon
Sr.
Sr.
Sra
Sra
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
D/M
D/M
D/M
D/M
M/D
M/D
M/D
M/D
D/D
D/D
D/D
D/D
S/S
S/S
S/S
S/S
Adm
Adm
Amn
Amn
A1C
A1C
BG
BG
BG
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
CMSgt
CMSgt
Col
Col
Col
Col
Col
Col
CSM
CSM
Cmdr
Cmdr
Cdr
Cdr
Como
Como
CPL
CPL
Ens
Ens
1Lt
1Lt
1Lt
1Lt
1Lt
1Lt
1SG
1SG
1st Sgt
1st Sgt
Gen
Gen
Gen
Gen
Gen
Gen
GySgt
GySgt
LCpl
LCpl
Lt
Lt
Ltc
Ltc
Ltc
Ltc
Ltc
Ltc
LCdr
LCdr
Ltg
Ltg
Ltg
Ltg
Ltg
Ltg
LtJG
LtJG
Maj
Maj
Maj
Maj
Maj
Maj
MG
MG
MG
MG
MG
MG
MGySgt
MGySgt
MSG
MSG
MSgt
MSgt
MSgt
MSgt
PSG
PSG
PVT
PVT
PVT
PVT
PFC
PFC
PFC
PFC
RAdm
RAdm
RDML
RDML
2Lt
2Lt
2Lt
2Lt
2Lt
2Lt
SMSgt
SMSgt
SGT
SGT
SFC
SFC
SGM
SGM
SMA
SMA
SP4
SP4
SrA
SrA
SSgt
SSgt
SSgt
SSgt
SSG
SSG
TSgt
TSgt
WO
WO
WO
WO
WO
WO
CWO2
CWO2
CWO3
CWO3
CWO4
CWO4
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
First Name
Last Name
Middle Name
Relationship
Adopted
Adult
Aunt
B
Brother
Brother-In-Law
Child
Cousin
Daughter
Daughter in law
Daughter-in-Law
Father
Fiancee
Foster
Friend
Grandaughter
Grandchild
Grandfather
Grandmother
Grandson
Head
Head 2
Head of Household
Head-Female
Head-Male
Husband
In law
In-Law
In-Laws
Mother
Mother-In-Law
Nephew
Niece
Other
Sister
Sister in law
Sister-In-Law
Son
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Ad
Young Adult
Gender
Male
Female
Language
Amer Sign/Spanish
Arabic,Russian,Spanish
Bisany
Canadian French
Czech/English
Czech/Russian
English
English/Arabic
English/Tagulog
Filipino
Filipino/Chinese
Filipino/French
Filipino/Spanish
French
French & Spanish
French-Creole
French/English
French/German/Spanish
German/English
Ghanaian
Greek
Haition Creol,French
Interperatur To Deaf
Interpreter To The Deaf
Italian
Japanese
Korean
Korean/English
Mandarin Chinese Cantonese
Nicarguenses
Okin/French/Portuguese
Polish
Portuguese
Russian
See File
Spanish
Spanish/English
Spanish/Italian
Spanish/Latin
Spanish/Portuguese
Tagalog & Bisaya
Tagalog & Bisaya
Tagalog,Visayan, English
Tagalog/English
Thai/Lao
Tigranya/Italian
Vietnamese
Marital Status
Anglican
Annulled
Church Marriage
Divorced
Lutheran
Married
Presbyterian
Separated
Single
Widowed
Widower
Religion
Anglican
Asatru
Assembley Of God
Baptist
Bretheren
Buddhist
Byz. Catholic
Catholic
Christian
Christian Science
Church Of Christ
Church Of England
Church Of God
Church Of the Brethern
Congregational
Coptic
Disciples Of Christ
Eastern Orthodox
Episcopalian
Evangelical
Greek Catholic
Greek Orthodox
Gregorian Orthodox
Hindu
Jewish
Latter Day Of Saints
Lutheran
Methodist
Moorish American
Mormon
Muslim
Nazarene
Non-Denominational
None
Orthodox
Pentacostal
Presbyterian
Protestant
Reformed
Russian Orthodox
Russion Orthodox
Seventh Day Adventist
Southern Baptist
Speech Pathologist
Ucc
Ukranian Catholic
Ukranian Orthodox
Unitarian
United Church of Christ
Uniting Church Australia
Unknown
World-Wide Church Of God
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
Phone 1
Alternate Address
Ans Serv
Bus Ph
Cellular
Cellular-Verizon
Daughter
Emerg.
Father
Fax
Finance
Grandmother
Her Cell
Her work
Her/Work
His Cell
His work
His/Work
Home Ph.
Husband Cell
Husband Work
Office
Other
Pager
Sch Ofc
Self
T4611
Tdd
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
Wife
Wife Cell
Wife Work
Work
( )
-
Unlisted
Email 1
Family
Her
His
Husband
Husband Work
mother
self
self work
spouse
step mother
Wife
Wife Work
Unlisted
Send Email Instead of Mail When Possible
Family Street Address
* Line 1
Line 2
* City
* State
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
* ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
* Primary
Alternate Address
Ans Serv
Bus Ph
Cellular
Cellular-Verizon
Daughter
Emerg.
Father
Fax
Finance
Grandmother
Her Cell
Her work
Her/Work
His Cell
His work
His/Work
Home Ph.
Husband Cell
Husband Work
Office
Other
Pager
Sch Ofc
Self
T4611
Tdd
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
Wife
Wife Cell
Wife Work
Work
( )
-
Unlisted
Other
Alternate Address
Ans Serv
Bus Ph
Cellular
Cellular-Verizon
Daughter
Emerg.
Father
Fax
Finance
Grandmother
Her Cell
Her work
Her/Work
His Cell
His work
His/Work
Home Ph.
Husband Cell
Husband Work
Office
Other
Pager
Sch Ofc
Self
T4611
Tdd
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
Wife
Wife Cell
Wife Work
Work
( )
-
Unlisted
Family Email Address
* Email
Family
Her
His
Husband
Husband Work
mother
self
self work
spouse
step mother
Wife
Wife Work
Unlisted
Send Email Instead of Mail When Possible
Fee Total = $0.00
Enroll Student 1 Do Not Enroll Student 1
Student 1
Type
Head of Household
Spouse
Adult
Young Adult
Child
Other
Title
None
Mr.
Mr.
Ms.
Ms.
Mrs.
Mrs.
Miss
Miss
Dr.
Dr.
Fr.
Fr.
Msgr.
Msgr.
Sr.
Sr.
Rev.
Rev.
Deacon
Deacon
Sr.
Sr.
Sra
Sra
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
Mr. & Mrs.
D/M
D/M
D/M
D/M
M/D
M/D
M/D
M/D
D/D
D/D
D/D
D/D
S/S
S/S
S/S
S/S
Adm
Adm
Amn
Amn
A1C
A1C
BG
BG
BG
BG
BG
BG
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
Cpt
CMSgt
CMSgt
Col
Col
Col
Col
Col
Col
CSM
CSM
Cmdr
Cmdr
Cdr
Cdr
Como
Como
CPL
CPL
Ens
Ens
1Lt
1Lt
1Lt
1Lt
1Lt
1Lt
1SG
1SG
1st Sgt
1st Sgt
Gen
Gen
Gen
Gen
Gen
Gen
GySgt
GySgt
LCpl
LCpl
Lt
Lt
Ltc
Ltc
Ltc
Ltc
Ltc
Ltc
LCdr
LCdr
Ltg
Ltg
Ltg
Ltg
Ltg
Ltg
LtJG
LtJG
Maj
Maj
Maj
Maj
Maj
Maj
MG
MG
MG
MG
MG
MG
MGySgt
MGySgt
MSG
MSG
MSgt
MSgt
MSgt
MSgt
PSG
PSG
PVT
PVT
PVT
PVT
PFC
PFC
PFC
PFC
RAdm
RAdm
RDML
RDML
2Lt
2Lt
2Lt
2Lt
2Lt
2Lt
SMSgt
SMSgt
SGT
SGT
SFC
SFC
SGM
SGM
SMA
SMA
SP4
SP4
SrA
SrA
SSgt
SSgt
SSgt
SSgt
SSG
SSG
TSgt
TSgt
WO
WO
WO
WO
WO
WO
CWO2
CWO2
CWO3
CWO3
CWO4
CWO4
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
* First Name
* Last Name
Middle Name
Nickname
Relationship
Adopted
Adult
Aunt
B
Brother
Brother-In-Law
Child
Cousin
Daughter
Daughter in law
Daughter-in-Law
Father
Fiancee
Foster
Friend
Grandaughter
Grandchild
Grandfather
Grandmother
Grandson
Head
Head 2
Head of Household
Head-Female
Head-Male
Husband
In law
In-Law
In-Laws
Mother
Mother-In-Law
Nephew
Niece
Other
Sister
Sister in law
Sister-In-Law
Son
Spouse
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepson
Uncle
Wife
Young Ad
Young Adult
* Birth Date
* Gender
Male
Female
* Grade/Degree
1
1 W/L
10th
11th
12th
13
14
16
1A
1B
1st
1st
2
2A
2B
2nd
3
3 W/L
3A
3B
3rd
4
4A
4B
4th
4th
5
5 W/L
5A
5B
5th
6
6 Special Needs Clas
6 W/L
6A
6B
6th
7
7 HS
7 W/L
7A
7B
7th
7th HS
8
8 HS
8 W/L
8A
8B
8th
9-12
9th
Army
Bachelor's
College
CYM 9-12
Graduate School
High School
Junior College
K
K W/L
Master's
Masters
OCIC
Post Masters
Pre-K
Pre-K/K
Pre-Sch
RCIA
Rn
Sat W/L
SP Needs
SP1
SP2
Sun 1A
Sun2 2B
Sun2 SP1B
Teens
* Language
Amer Sign/Spanish
Arabic,Russian,Spanish
Bisany
Canadian French
Czech/English
Czech/Russian
English
English/Arabic
English/Tagulog
Filipino
Filipino/Chinese
Filipino/French
Filipino/Spanish
French
French & Spanish
French-Creole
French/English
French/German/Spanish
German/English
Ghanaian
Greek
Haition Creol,French
Interperatur To Deaf
Interpreter To The Deaf
Italian
Japanese
Korean
Korean/English
Mandarin Chinese Cantonese
Nicarguenses
Okin/French/Portuguese
Polish
Portuguese
Russian
See File
Spanish
Spanish/English
Spanish/Italian
Spanish/Latin
Spanish/Portuguese
Tagalog & Bisaya
Tagalog & Bisaya
Tagalog,Visayan, English
Tagalog/English
Thai/Lao
Tigranya/Italian
Vietnamese
* Religion
Anglican
Asatru
Assembley Of God
Baptist
Bretheren
Buddhist
Byz. Catholic
Catholic
Christian
Christian Science
Church Of Christ
Church Of England
Church Of God
Church Of the Brethern
Congregational
Coptic
Disciples Of Christ
Eastern Orthodox
Episcopalian
Evangelical
Greek Catholic
Greek Orthodox
Gregorian Orthodox
Hindu
Jewish
Latter Day Of Saints
Lutheran
Methodist
Moorish American
Mormon
Muslim
Nazarene
Non-Denominational
None
Orthodox
Pentacostal
Presbyterian
Protestant
Reformed
Russian Orthodox
Russion Orthodox
Seventh Day Adventist
Southern Baptist
Speech Pathologist
Ucc
Ukranian Catholic
Ukranian Orthodox
Unitarian
United Church of Christ
Uniting Church Australia
Unknown
World-Wide Church Of God
Handicap
Adhd
Allelrgies/Asthma
Allergic To Amoxicillin
Allergic To Gluten/Wheat
Allergic To Jellowjackts
Allergic To Yellowjacket
Allergic/Amoxic/Heart Mur
Allergies
Allergyies Nut;Peanut
Alzheimers
Arthritis
Asperger Syndrome
Asthma
Asthma/Cancer Survivor
Asthma/speech Impairment
Asthmatic,Bowel Disease
Attention Deficit Disord
Autistic
Back pain
Blind
Cancer, Lung,Heart
Cancer/Learning Disabil
Cerebral Palsy
Cf
Chronic Renal Disease
Currently going thru chemo
Cystic Fibrosis
Deaf
Dementia
Development Disorder
Diabetes
Diabetic
Disabled
Down Syndrome
Eplipetic
Handicapped
Has Asthma
Hearing Loss
Hearing/Vision Impaired
Heart Condition
Heart Murmur/Glasses
Ichthyosis(skin disorder
Invalid
Juvenile Rheumatoid Arthritis
Lactose Intolerant
Learning Disability
Legally Blind
Lung Cancer,Emphysema
Lupus
Medical
Mental Illness
Mentally Disabled
Mild Autism
Mobility Limited
Ms/Pacemaker Implant
Multiple
Multiple Sclerosis
Neurological Damage
Neuropathy/uses cane
Only Has Rt Kidney
Orthopedically Impaired
Parkinson's Disease
Physcially
Physically
Respiratory Problems
Rhuematism/Crohns/hearing los/
Scoiliosis
Scoliosis
Sickle Cell Disease
Siezures/Low Blook Sugar
Special Ed
Speech/Language Delayed
Stroke/speech Impairment
Wheelchair
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Phone 1
Alternate Address
Ans Serv
Bus Ph
Cellular
Cellular-Verizon
Daughter
Emerg.
Father
Fax
Finance
Grandmother
Her Cell
Her work
Her/Work
His Cell
His work
His/Work
Home Ph.
Husband Cell
Husband Work
Office
Other
Pager
Sch Ofc
Self
T4611
Tdd
Text-Alltel
Text-AT&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPCS
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-US Cellular
Text-USA Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
Wife
Wife Cell
Wife Work
Work
( )
-
Unlisted
Email 1
Family
Her
His
Husband
Husband Work
mother
self
self work
spouse
step mother
Wife
Wife Work
Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
* 1st Comm
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
* Confirm
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
Class Choices
* Class 1
Student Remarks
* General Remarks
* Health Problems
* Other Conditions
* Misc. Info.
* Remarks