Update Family/Household Information

Family Last Name: REQUIRED Please fill out this field. Please enter valid data.

Address: REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

The following information needs to be provided for any adult child (over 21) within your household that is still registered under your envelope number. Please read through each question below and answer to the best of your knowledge.

Adult Child #1 First Name: REQUIRED Please fill out this field. Please enter valid data.

Adult Child #1 Last Name: REQUIRED Please fill out this field. Please enter valid data.

Has this child moved out of your home? REQUIRED Yes No Please fill out this field.

Is this child still living in your home but is considered an independent? REQUIRED Yes No Please fill out this field.

Is this child still living in your home but is dependent on you (for reasons such as a physical or mental disability)? REQUIRED Yes No Please fill out this field.

If the child has moved out of your home are they still within the St. Clare Parish boundaries and/or are they attending St. Clare Mass? REQUIRED Yes No Please fill out this field.

If yes, please provide their email so we can send them the link to join St. Clare as a parishioner. If No, please type "N/A".

Adult Child #2 First Name: Please enter valid data.

Adult Child #2 Last Name: Please enter valid data.

Has this child moved out of your home? Yes No

Is this child still living in your home but is considered an independent? Yes No

Is this child still living in your home but is dependent on you (for reasons such as a physical or mental disability)? Yes No

If the child has moved out of your home are they still within the St. Clare Parish boundaries and/or are they attending St. Clare Mass? Yes No

If yes, please provide their contact information so we can send them the link to join St. Clare as a parishioner. If No, please type "N/A".

Adult Child #3 First Name: Please enter valid data.

Adult Child #3 Last Name: Please enter valid data.

Has this child moved out of your home? Yes No

Is this child still living in your home but is considered an independent? Yes No

Is this child still living in your home but is dependent on you (for reasons such as a physical or mental disability)? Yes No

If the child has moved out of your home are they still within the St. Clare Parish boundaries and/or are they attending St. Clare Mass? Yes No

If yes, please provide their contact information so we can send them the link to join St. Clare as a parishioner. If No, please type "N/A".

If there are any additional adult children, please provide their name(s), contact information, and any additional information below.

If you have any more children that are over 21, please use this box below to list their names and answers to the questions listed above.