Certification Program Registration
Fall 2007

Last Name:
First Name:
Address:
City: State: Zip:
Day Phone:
E-mail:

Category: Personal Enrichment (non-certificate)
Certification Candidate    Area:

  Audit - by checking this box, no credit will be earned for the selected courses.

Payment Instructions:

Enter the total amount you wish to pay now: $

Only If your parish is to be billed, please complete these fields:

Parish:    City:

 



If mailing registration, send with payment to:
Ellen Morningstar, Registrar
St. Bernard's School of Theology and Ministry
120 French Rd.
Rochester, NY 14618