Census Survey - St Gabriel Syriac Orthodox Church

We want to stay connected with your family and ensure you're informed about church events, ministries, and community updates. Please provide details for the Head of Household (HOH), even if that’s not you. This helps us coordinate family involvement and support when needed.

Head of Household Information

First Name *

Last Name *

Address

Street Address *

City *

State *

Zip Code *

Contact Information

Email *

Cell Phone *

Date of Birth *

As a church, we value both spouses in the household and want to ensure you are both connected to relevant ministries and opportunities. Your contact details help us keep you informed while respecting your family’s communication preferences.

Spouse Information

First Name *

Last Name *

Maiden Name

Same address as Head of Household

Address

Street Address

City

State

Zip Code

Contact Information

Email *

Cell Phone *

Date of Birth *

We love engaging with the next generation! By providing your children’s details, we can connect them with the right ministries, events, and faith-based programs. Teenagers may receive occasional texts or emails from youth leaders, always with your awareness. Leave the contact information blank if the child is underage.

Children Information

How many children do you have? *

Please type the number of children in the household to being adding their names and information.

Child 1

Name Date of Birth *

Email

Cell Phone

Child 2

Name Date of Birth *

Email

Cell Phone

Child 3

Name Date of Birth *

Email

Cell Phone

Child 4

Name Date of Birth *

Email

Cell Phone

Child 5

Name Date of Birth *

Email

Cell Phone

Child 6

Name Date of Birth *

Email

Cell Phone

Child 7

Name Date of Birth *

Email

Cell Phone

Child 8

Name Date of Birth *

Email

Cell Phone

Child 9

Name Date of Birth *

Email

Cell Phone

Child 10

Name Date of Birth *

Email

Cell Phone

Does anyone else live in your household (e.g., grandparents, relatives, or dependents)? Including them allows us to extend pastoral care, connect them with ministries, and ensure they feel welcome in our church community.

Additional Household Members

Let's add any additional family members.

Do you have Additional Family Members living in the household? YesNo

How many additional family members do you have living with you?