Parish Registration

To become a registered member of St. Bernard's Church, please complete and submit the online form below. You may also print and fill out this Parish Registration Form and return it to the church office. Welcome to St. Bernard's Church!
Parish Registration Form
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- Contact Information
  
  Name (first and last) 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.
  
  Mailing address (if different) Please enter valid data.
  
  Primary Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter valid data.
  
  Marital status REQUIRED Please fill out this field.
  
  Date of marriage (xx/xx/xxxx) Please enter a date.
  
  Do you have envelopes? REQUIRED Yes No Please fill out this field.
  
  Shall we send you envelopes? Yes No
- Family Information - 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.
  
  Birth date (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Email Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism First Communion Confirmation
- Family Information - Spouse
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden name (if applicable) Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Email Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism First Communion Confirmation
- Family Information - First Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Sex Female Male
  
  Religion Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism Reconciliation First Communion Confirmation
- Family Information - Second Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Sex Female Male
  
  Religion Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism Reconciliation First Communion Confirmation
- Family Information - Third Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Sex Female Male
  
  Religion Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism Reconciliation First Communion Confirmation
- Family Information - Fourth Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Sex Female Male
  
  Religion Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism Reconciliation First Communion Confirmation
- Family Information - Fifth Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birth date (xx/xx/xxxx) Please enter a date.
  
  Sex Female Male
  
  Religion Please enter valid data.
  
  Sacraments received:
  Check all that apply.
  Baptism Reconciliation First Communion Confirmation
- Parish Ministries
  
  Our parish invites everyone to consider joining one or more of the ministries and groups listed below. Please mark which ones you (and your family) are interested in learning more about.
  
  Liturgical ministries: Sacristan Greeter Music Youth altar server Adult altar server Eucharistic minister Lector Children's liturgy Usher Offertory gifts Hospitality after Mass
  
  Parish ministries: Parish council Vocation awareness Youth ministry Catechist Communion to hospital Communion to homebound Funeral server Art and environment Clean the church Clean altar linens
  
  Parish Groups: Catholic Daughters Knights of Columbus Altar and Rosary Society Prayer Group Men's Group
  
  Ecumenical Groups: Ecumenical Council Saranac Lake Interfaith Food Pantry Grace Pantry Community Lunchbox Community Supper
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