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Catechetical Registration

- If you are registered with the Parish, please continue below and fill out form.
  If you are new, please click here to register with the Parish and then fill out form below. If you have any questions please contact Denise Metzgar in the Office of Catechetical Formation at (908) 725-0552 ext. 825
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Name: Please enter valid data.
  
  Father's Phone Number: Maximum 20 characters Please enter a phone number.
  
  Father's Email: Please enter an email address.
  
  Mother's Name: Please enter valid data.
  
  Mother's Phone Number: Maximum 20 characters Please enter a phone number.
  
  Mother's Email: Please enter an email address.
  
  Guardian's Name (if other than parent): Please enter valid data.
  
  Guardian's Phone Number: Maximum 20 characters Please enter a phone number.
  
  Guardian's Email: Please enter an email address.
  
  Parent's Marital Status: REQUIRED Please fill out this field.
  
  If applicable, please note any custody/visitation issues:
  
  Click here to read the Parent Handbook and answer question below.
  
  I have read and agree to the terms and conditions within the Faith Formation Parent Handbook. REQUIRED yes Please fill out this field.
  
  1st Grade and New Families please fill out email address to receive additional information Please enter an email address.
  
  Parental consent to use or photographs: REQUIRED I approve the use of photographs and video of our child(ren) for use within the parish of St. Bernard of Clairvaux I do not approve the use of photographs and video of our child(ren) for use within the parish of St. Bernard of Clairvaux Please fill out this field.
  
  Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Special circumstances/medical needs/special services: REQUIRED Please fill out this field.
  
  Grade Entering: REQUIRED Please fill out this field.
  
  Child 2
  
  Child's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Special circumstances/medical needs/special services: REQUIRED Please fill out this field.
  
  Grade Entering: REQUIRED Please fill out this field.
  
  Child 3
  
  Child's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Special circumstances/medical needs/special services: REQUIRED Please fill out this field.
  
  Grade Entering: REQUIRED Please fill out this field.
  
  Child 4
  
  Child's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Special circumstances/medical needs/special services: REQUIRED Please fill out this field.
  
  Grade Entering: REQUIRED Please fill out this field.
  
  Child 5
  
  Child's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Special circumstances/medical needs/special services: REQUIRED Please fill out this field.
  
  Grade Entering: REQUIRED Please fill out this field.
  
  Class Choice 1: REQUIRED Please fill out this field.
  
  Class Choice 2: REQUIRED Please fill out this field.
  
  Volunteering Opportunities I would love to hear more about volunteering opportunities in this ministry
  
  Registration Payment to complete payment through WeShare.
  
  Submit
  
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