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Youth Formation

- Youth Activities

BEFORE YOU REGISTER YOUR CHILD FOR RELIGIOUS ED, PLEASE MAKE SURE YOU ARE REGISTERED IN THE PARISH. IF YOU ARE NOT REGISTERED PLEASE REGISTER BELOW.
Parish Registration
- First Name * Please fill out this field. Please enter valid data.
  
  Last Name * Please fill out this field. Please enter valid data.
- Family Email * Please fill out this field. Please enter an email address.
- Phone Maximum 20 characters Please enter a phone number.
- Address Line 1 * Please fill out this field. Please enter valid data.
- Address Line 2 Please enter valid data.
- City * Please fill out this field. Please enter valid data.
- State / Province * Please fill out this field. Please enter valid data.
  
  Zip / Postal Code * Please fill out this field. Please enter a zip code.
Submit

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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
Submit

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Contact Us
- Sister Susi Miranda, X.M.M.
  
  Religious Education & Spanish Apostolate
  
  (508) 755-3820 ext. 3
  religiousedolpworcester.org

St. Bernard's Catholic Church of
Our Lady of Providence Parish

Your neighborhood church

Youth Formation

Parish Registration

Religious Education Registration

Contact Us