St. Bernardine Roman Catholic ChurchRegistration/Census Form(Online)Please provide us with the following information. Thank you for your assistance. Please select one * New Registration Census Update Date * MM DD YYYY Household Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone (###) ### #### List SEPARATELY each person living in your household. Please list yourself first Full Name * Include your middle name or initial. First Name Last Name Are you a member of St. Bernardine Roman Catholic Church? * Yes No Gender Male Female Non-Binary Prefer not to answer Birth Date * MM DD YYYY Envelope Number Do you wish to receive (or continue to receive) church envelopes? Yes No Cell Phone (###) ### #### Work Phone (###) ### #### Email Marital Status * Religion Baptized: Yes No First Communion: Yes No Confirmed: Yes No Occupation, Activities,Skills, or Hobbies: If member is a child, do they attend our Sunday School : Not a Child Yes No Grade How can we minister to you? Full Name First Name Last Name Relationship to you Member of St. Bernardine's? Yes No Gender Male Female Non-Binary Prefer not to answer Date of Birth MM DD YYYY Envelope Number Do you wish receive (or continue to receive) church envelopes? Yes No Cell Phone (###) ### #### Email Marital Status Religion Baptized: Yes No First Communion: Yes No Confirmed: Yes No Occupation, Activities, Skills, or Hobbies: If member is a child, do they attend our Sunday School: Not a Child Yes No Grade: FullName Please include middle initial or name First Name Last Name Relationship to you: Member of St. Bernardine's: Yes No Gender Male Female Non-Binary Prefer not to answer Birth Date MM DD YYYY Envelope Number Do you wish to receive (or continue to) church envelopes: Yes No Cellphone: (###) ### #### Email: Marital Status: Religion: Baptized: Yes No First Communion: Yes No Confirmed: Yes No Occupation, Activities, Skills, or Hobbies: If member is a child, do they attend our Sunday School: No child Yes No Thank you!