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.__
____ Please 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
