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Youth Formation

- Youth Activities

Classes Begin
Contact Us
- Sister Susi Miranda, X.M.M.
  
  Religious Education & Spanish Apostolate
  
  (508) 755-3820 ext. 3
  religiousedolpworcester.org
Religious Education Registration
- Parent 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Family Contact Email * Maximum 200 characters Please fill out this field. Please enter an email address.
  
  Family Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent 2
  
  First Name Maximum 80 characters Please enter valid data.
  
  Last Name Maximum 80 characters Please enter valid data.
  
  Email Maximum 200 characters Please enter an email address.
  
  Phone Maximum 20 characters Please enter a phone number.
- Emergency Contact*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
- How many children are you registering? Maximum 10 characters Please enter an integer (number) from 1 to 10.
  
  Child 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 2*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 3*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 4*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 5*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 6*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 7*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 8*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 9*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 10*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
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St. Bernard's Catholic Church of
Our Lady of Providence Parish

Your neighborhood church

Youth Formation

Contact Us

Religious Education Registration