2019-2020 Parish Census/Registration Form

Thank you for taking a moment to participate in St. Bernardine's 2019-2020 Parish Census.  Please register your household's information with our Parish office. Please fill out the form as completely as possible and then click submit. For any questions, please contact our office at (818) 888-8200. 

Family Name
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Name of Husband
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Name of Wife
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First and Last Name(s) of Other Adult(s) in Household
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First and Last Names of Child(ren) in Household
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Address
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Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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Do you wish to receive envelopes?
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Ministries / Talents
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Please list any ministries you are interested in or talents:
Date //
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