JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ST.BERNADETTE'S PARISH REGISTRATION
WELCOME to OUR PARISH FAMILY! We're glad to have you here. Please complete as much of this form as you can. This form will be received directly by Father Chris Lemieux, our Pastor. May the Lord richly bless you and your family!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Are you currently registered at another parish?
*
Yes
No
Not that I'm aware of
Your name (First, Middle, Last)
*
Your answer
Email Address
*
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
Your answer
Preferred contact method
*
Email
Home Phone
Cell Phone
Required
Home Mailing Address
*
Your answer
Children's Names (First, Middle, Last)
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
