ST BARNABAS CHURCH --- CENSUS FORM (REV. 10/96)
A.  FAMILY INFORMATION
  Last Name
Today's Date
Address
Town
ZIP
Newly Moved
to the Area?
How long here?
Phone Number
Unlisted?
If presently married, where did marriage take place?
Does your family attend Sunday Mass regularly?
Do you wish to receive Church Envelopes?
B.  INFORMATION ABOUT HUSBAND AND WIFE (OR INDIVIDUAL, IF SINGLE)
Please fill out this page and click "submit" button in the bottom
List 1st name and 2nd name if different
Date of Birth
Religion
Type of Work
Baptism
First
Communion
Confirmation
C.  INFORMATION ABOUT CHILDREN AT HOME (18 or older, use separate form)
List 1st name and 2nd name if different
Date of Birth
Baptism
First
Communion
Confirmation
Grade in School
D.  ANYONE HANDICAPPED/HOMEBOUND?  If Yes, select
E.  COMMENTS/TALENTS