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Parish Registration Form

- Parish Information

You may either:
- Print a parish registration form here to return by mail or in person
or, register onliine below:
Parish Registration
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Previous Parish Please enter valid data.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status
  
  Occupation Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Date of Marriage (if applicable) Please enter a date.
- Spouse (if any)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Marital Status
  
  Occupation Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Date of Marriage (if applicable) Please enter a date.
- Total Children/Other Members REQUIRED
  Please include EACH family member.
  Please fill out this field.
  
  Child/Other Member 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
  
  Child/Other Member 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birth Date Please enter a date.
  
  Grade, if school-aged Please enter valid data.
  
  Relationship Child Young Adult Other
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Check all that apply
  Baptism First Communion Confirmation Marriage
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City and State of Baptism Please enter valid data.
- Offertory Commitment
  
  As a parishioner who values our faith community, the programs we depend upon, and the liturgy we live by, I/we commit ourselves to the following offering in support of Saint Bernadette Church. For electronic donations, please see Online Giving Instructions.
  
  View a helpful breakdown of gift options
  
  My/Our total annual offertory commitment in support of parish life at Saint Bernadette Church: Please enter valid data.
  
  In order to meet the needs of our parishioners and in response to many requests, we will begin accepting the following options of offertory support that might better meet your budgeting needs. Please indicate your contribution preferences below to receive envelopes:
  
  To be contributed: REQUIRED Annually by Dec. 31st Semi-Annually by Dec. 31st and June 30th Monthly Weekly Please fill out this field.
  
  Amount of Installments: REQUIRED Please fill out this field. Please enter valid data.
Submit

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St. Bernadette Parish

Northborough, MA

Parish Registration Form

Parish Registration