2007 Summer ACT

(Academy for Contemporary Theology)

 Registration Form
Complete this form and register by the internet, or .....
Make a copy of the completed form  and mail to St. Bernard's, Attn: Registrar. 

Please register by July 9, 2007

SECTION l:  Student Information

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

SECTION ll:   Course Selection

  The Challenges of Modern Family Life (Tom McDade Clay)  July 12 & 18: 6:30 - 9:00 pm

  Understanding Change in Parishes (Bernard Grizard)  July 17 & 19: 6:30 - 9:00 pm

  Will Our Faith Have Children? (Michael Theisen)  July 23 & 24: 6:30 - 9:00 pm

  Aging as a Spiritual Journey (Gratia L'Esperance, RSM)  July 25 & 26: 6:30 - 9:00 pm

SECTION lll:  FINANCIAL INFORMATION

The cost for EACH course is $60
 
         Select American Express Discover Master Visa
Acct #      Exp. Date:  Mo 01 02 03 04 05 06 07 08 09 10 11 12   Yr 03 04 05 06 07 08 09 10 11 12  
Name on Card:   

Charge Amount: