St. Barnabas Sunday School Registration Form

Student's Name:*
Parents'/Guardians' Names:*
E-mail:*
Home Phone:*
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Cell Phone:
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Home Address:
Age:*
School Grade:*
Birthdate:*
Please check all that apply:
Special Needs, Medical Concerns / Allergies, or any pertinent family information:*
Type the characters you see here:

* Indicates required fields

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