St. Bernard’s Church

What Parish are you registering for?*

St. Joan of Arc
St. Bernard's
St. Mary's
St. Joseph's

First Name*

Last Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email

Collection Envelopes

Yes
No

Number of Adults

1 Adult
2 Adults
3 Adults

Number of Children

1 Child
2 Children
3 Children

Remarks

Please note any special skills or talents you may wish to share, any ministries or church organizations in which you may be interested, as well as any special needs to which we might respond (i.e. Homebound, marriage validation, etc.).

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Roman Catholic Diocese of Syracuse

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