St. Barnabas Church Parish Registration
Family Information
Name *
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Address *
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City *
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Zip Code *
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Is this an update? *
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Phone Number *
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Unlisted? *
E-Mail
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Marital Status *
If presently married, where did marriage take place?
Does your family attend Sunday Mass regularly?
Do you wish to receive Church Envelopes?
Information About Husband or Wife (or Individual, if Single)
First and Last Name (if different)
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Date of Birth
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Gender
Religion
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Type of Work
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Baptism
First Communion
Confirmation
Spouse First and Last Name (if different)
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Spouse Date of Birth
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Spouse Gender
Spouse Religion
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Spouse Type of Work
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Spouse Baptism
Spouse First Communion
Spouse Confirmation
Information about Children at Home (18 or older, use separate form)
List 1st name and 2nd name if different (Child 1)
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Date of Birth (Child 1)
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Gender (Child 1)
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Sacraments Received (Child 1)
Grade in School (Child 1)
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List 1st name and 2nd name if different (Child 2)
Your answer
Date of Birth (Child 2)
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Gender (Child 2)
Your answer
Sacraments Received (Child 2)
Grade in School (Child 2)
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List 1st name and 2nd name if different (Child 3)
Your answer
Date of Birth (Child 3)
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Gender (Child 3)
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Sacraments Received (Child 3)
Grade in School (Child 3)
Your answer
List 1st name and 2nd name if different (Child 4)
Your answer
Date of Birth (Child 4)
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Gender (Child 4)
Your answer
Sacraments Received (Child 4)
Grade in School (Child 4)
Your answer
List 1st name and 2nd name if different (Child 5)
Your answer
Date of Birth (Child 5)
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Gender (Child 5)
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Sacraments Received (Child 5)
Grade in School (Child 5)
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If additional children please include their information below
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Is anyone handicapped/homebound? If yes, select
Comments and Talents
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