Census Information Last Name: (required) First Name: (required) Email: (required) Married: (required) YesNo Spouse's First Name: Address: (required) Village: (required) Zip: (required) Own/Rent: (required) OwnRent Home Phone: (required) Cell Phone: (required) Business Occupation/Position: Business Address: Business Phone: Children: (required) YesNo How Many: Ages at Time of 2025 Census: Household Help: (required) YesNo Reside at Residence: YesNo Own Guns: (required) YesNo Type: Qty./Descrip: If Pistols: Permit #: Permit type: County of Issue: Alarm System Type: Alarm Permit: YesNo Dogs: (required) YesNo How Many: Type of Dogs: Emergency Contacts: Name: (required) Phone: (required) Name: (required) Phone: (required) Miscellaneous Info (health conditions, handicaps, gate codes, etc): Please leave this field empty.
