Welcome to our Church. Visit our web site at http://saintbrendan.org for more
 information.

Click Submit Form to send this information to St. Brendan.

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*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   Religion   Language Marital Status
  Handicap
  Occupation
  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
   Penance
Remarks    

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Handicap
  Occupation
  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
   Penance
Remarks    

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

Family Mailing Address
  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
Family Remarks
  Remarks

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Handicap
  Occupation
  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
   Penance
Remarks    


Click Submit Form to send this information to St. Brendan.