St. Bernadette Parish Registration Form

Please complete all fields and be sure to hit "submit" at the end of the form.

General Information

How would you like to contribute to the parish? *
Would you like to receive the Catholic Review? *

Family Members

Head of Household

 +
Gender *
Language(s) Spoken *
 
Religion *
 
Sacraments Received *

Co-Head of Household/Second Adult

 +
Gender *
Language(s) Spoken *
 
Religion *
Sacraments Received *

Children Under the Age of 25 Living at Home

Please complete this information only for children living at home who have not yet turned 25. Older children or other adults living in the household should complete a separate registration form.
 Child #1Child #2Child #3
Child's Full Name
Child's Preferred Name
Child's Date of Birth
Child's Gender (M/F)
Child's Current Grade & School
Child's Religion
Language(s) Child Speaks
(Continued for additional children if necessary. If you have more than 6 children, please contact the front office to provide the additional information.)
 Child #4Child #5Child #6
Child's Full Name
Child's Preferred Name
Child's Date of Birth
Child's Gender (M/F)
Child's Current Grade & School
Child's Religion
Language(s) Child Speaks
Sacraments Received by the Children Above
 Child #1Child #2Child #3Child #4Child #5Child #6
Baptism
Reconciliation (prep)
Eucharist
Confirmation

Your Place in the Community

Linked Households

What Are Your Interests & Gifts?

Please select any ministries and/or parish organizations you, or your family members, would like to learn more about... *
 
Please identify any skills or interests that you may be able to use to volunteer for the parish: *
 

How Can We Help You?