Family Census Record Form
Please fill out the form completely and help us maintain accurate information by notifying us of change of address and additions/subtractions to your household. Questions? Call 763-753-7049.
RESIDENT & DWELLING INFORMATION
HEAD OF HOUSEHOLD (HH1) ADULT #1
HEAD OF HOUSEHOLD (HH2) ADULT #2
List all people living at the residence, including all children (babies, toddlers, preschoolers, school age) and adults. If you have more than 6 family members living in your household, please contact Kara Merrifield at 763-753-7049.
If the box is checked, please supply household member name. You may be contacted by the St. Francis Area Schools Early Childhood Family Center.