Registration and Update Form

Please use the registration/update form to complete the following:
	If you are new to the area and would like to register as a new parishioner.
	If you attend Mass at St.Bernadette but have never registered as a parishioner.
	You are an existing parishioner and any of your information has changed, you can update it here.
	You are an existing parishioner and would like to have collection envelopes sent.

    Items in Blue are required.

Envelope #:
Title:
First Name:
Spouse's Name:
Last Name:
Address:
City:
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Zip:		-
Phone Home:
Phone Work:
Email:
Comments:
Verification code:		(enter the following letters)