Click Submit to send this information to St. Barnabas Catholic Church.
Haga clic en Enviar para enviar esta información a la Iglesia Católica de San Bernabé.

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*Fields with a red * are required even if you are updating existing registration and there is no change

*Registration Option Register a New Family Update an Existing Family *ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity *Birth Date *Gender Female   Male
Grade/Degree   Language *Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirm
   Marriage
Ministries of Interest   Name Interested in Joining
  
  
  
Spouse (skip if N/A)
Title
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirm
   Marriage
Ministries of Interest   Name Interested in Joining
  
  
  

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Mailing Address (if different)
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible

Add'l Member (child, other adult)   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
  
  


Click Submit Form to send this information to St. Barnabas Catholic Church.