USA Maronite Census
Official Website		  
Eparchy of Our Lady of Lebanon  

= Req'd Field
First Name Last Name M   F               S    M    D    W   
Middle Name
Spouse First Name Middle Name Maiden Name
Address     City     State
Zip Code                  Phone # ( )  -                  E-Mail Address
Number of Children:

Religious Background
Your Information Spouse's Information
Languages Spoken
Country of Birth
Country of Citizenship
Occupation (optional)
Rite
 
If "Other" was selected please enter information below:


Your Parents
Father First Name
Mother Maiden Name
Father's Rite Mother's Rite
   
If "Other" was selected please enter information below:
Languages Spoken
Country of Birth
Country of Citizenship
Occupation (optional)
Rite
 
If "Other" was selected please enter information below:


Spouse's Parents
Father First Name
Mother Maiden Name
Father's Rite Mother's Rite
If "Other" was selected please enter information below:

Is there a Maronite parish in you area? Yes No

Name of the Parish

Are you registered in a Maronite parish? Yes No        Active Non-Active

If you are not attending a Maronite Parish, Please name your Parish

Organization
Ushers    Lectors    Ladies Society    Men's Society    

Order of Saint Sharbel            NAM