Southport Catholic Parish Postal Address P O Box 216 Ashmore City Qld 4214 Edmund Rice Drive, Ashmore, Qld Phone: (07) 5510 2222 Fax: (07) 5510 2244 Census Family Details: Surname: __________________________________________ Address: __________________________________________ __________________________________________ Postal Address: __________________________________________ __________________________________________ Phone: __________________________________________ Email: __________________________________________ Family Members Details: Member 1 Member 2 Title: Mr/Mrs/Ms _____________________ _____________________ First Name _____________________ _____________________ Second Name _____________________ _____________________ Date of Birth _____________________ _____________________ Relationship or Marital Status _____________________ _____________________ Occupation _____________________ _____________________ Work Phone No. _____________________ _____________________ Religion _____________________ _____________________ Scaraments (Please tick) Baptism Confirmation Eucharist _____________________ Baptism Confirmation Eucharist _____________________ Ministries (Please tick or specify others)   Readers Music Eucharistic Minister Ministry to the Sick Others_____________ Readers Music Eucharistic Minister Ministry to the Sick Others_____________ Member 3 Member 4 Title: Mr/Mrs/Ms _____________________ _____________________ First Name _____________________ _____________________ Second Name _____________________ _____________________ Date of Birth _____________________ _____________________ Relationship or Marital Status _____________________ _____________________ Occupation _____________________ _____________________ Work Phone No. _____________________ _____________________ Religion _____________________ _____________________ Scaraments (Please tick) Baptism Confirmation Eucharist _____________________ Baptism Confirmation Eucharist _____________________ Ministries (Please tick or specify others)   Readers Music Eucharistic Minister Ministry to the Sick Others_____________ Readers Music Eucharistic Minister Ministry to the Sick Others_____________  Signature_________________________ Date ________ Please Print Form and Hand Deliver or Fax: 5510 2244