FF Registration

 

 

 

 

Welcome to our St. Bernadette Catholic Church. Visit our web site at www.stbnc.net for more
 information.

 

Click Submit Form to send this information to St. Bernadette Catholic Church.


*********** This web page works better with JavaScript enabled. ***********
To see how to enable JavaScript, please visit https://www.enable-javascript.com/

*Required fields

Instructions Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed tempor libero lorem, non condimentum diam commodo sit amet. Sed malesuada leo quis sem suscipit, sit amet hendrerit est congue. Nam id nulla venenatis augue dignissim efficitur. Suspendisse sodales sagittis orci facilisis dictum. Integer id lectus diam. Morbi porttitor gravida ante, at efficitur erat hendrerit eget. Integer venenatis quis ligula sit amet semper. Vivamus facilisis sollicitudin magna, ac sodales mauris placerat vitae. Curabitur vel justo convallis, semper libero vitae, malesuada orci. Phasellus in rutrum nisl. Curabitur vitae pretium massa. Pellentesque hendrerit, elit quis dictum accumsan, massa tortor euismod eros, sed suscipit felis enim ac urna. Vivamus iaculis malesuada erat, a tempus ipsum malesuada ac.
   
Family Options  New Family  Update Existing Family  – ID/Env 

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
  Phone Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
      Phone 1 ( ) Unlisted
      Email 1   Unlisted
      Send Email Instead of Mail When Possible

Spouse
  First Name   Last Name Suffix
Relationship   Middle Name   Nickname
  Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
      Phone 1 ( ) Unlisted
      Email 1   Unlisted
      Send Email Instead of Mail When Possible

      Family Street Address
    *Line 1
      Line 2
    *City
    *State
    *ZIP
   
      Family Phone Numbers
  Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
    *Primary ( ) Unlisted
      Other ( ) Unlisted
      Family Email Address
    *Email   Unlisted
      Send Email Instead of Mail When Possible
      Family Remarks
    Remarks

Student 1   Type  
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
  Phone Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
      Phone 1 ( ) Unlisted
      Email 1   Unlisted
      Send Email Instead of Mail When Possible
  Sacraments   Name Received Date Place
       Baptism
       Confirm
       Penance
       First Comm
  Ministries   Name Interested in Joining
      
      
  Talents   Name Interested in Joining
      
  *Class Choices
  *Class 1
      Student Remarks
    General Remarks
    Health Problems
    Other Conditions
    Misc. Information
 
Student Contact 1
    First Name   Last Name Suffix
    Relationship  &nbspMarital Status
 
      Address
      Line 1
      Line 2
      City
      State
      ZIP
      Phone Numbers
  Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
      Primary ( ) Unlisted
      Other ( ) Unlisted
      Email Address
      Email
      Send Email Instead of Mail When Possible
 
Student Contact 2
    First Name   Last Name Suffix
 
 
      Address
      Line 1
      Line 2
      City
      State
      ZIP
      Phone Numbers
  Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
      Primary ( ) Unlisted
      Other ( ) Unlisted
      Email Address
      Email
      Send Email Instead of Mail When Possible


Click Submit Form to send this information to St. Bernadette Catholic Church.

 Captcha Not Available 
 ↻ 

*Enter the characters shown in the image



Back to Top