Register yourself or family!
By paper mail:
St. Bernard Parish @ St. Camillus Church
333 Mechanic St, Fitchburg, MA 01420

Phone: (978) 342-7921
Fax: (978) 345-2688
E-Mail: administrator@saintbernardparish.net

 
Parish Census Information (Please Print)

Family Last Name:__Phone __

Address:__

City: __   State:___  Zip: __

Male Head of Household:__   D.O.B.__

Female Head of Household: __    D.O.B.__

Children and/or other adults

Please circle proper letter: A = Living at home  B = Away at college
C = Living at home & working D = Other Relative 

A B C D_: Name_   D.O.B.__

A B C D_: Name_   D.O.B.__

A B C D_: Name_   D.O.B.__

A B C D_: Name_   D.O.B.__

____ Do Not sign me/us up for contribution envelopes.

(Highlight the form and copy it, create a word document, paste the form
to the document, type in your information,
print it and papermail it to us, or e-mail it to us.)
  administrator@saintbernardparish.net