Busy Person's Retreat

for Catechetical Leaders, Youth Ministers, and Campus Ministers

Registration Form
 

To register:

Complete this form and click "Submit" below 

OR

Complete and print this form, and mail with payment  (check payable to "St. Bernard’s " or credit card information) to:  St. Bernard’s School of Theology & Ministry, 120 French Road, Rochester, NY  14618   Attn: Registrar

Registration Deadline: January 10, 2007

Note: If you previously registered for the "Three for All" package, you do not need to register again.

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

 COST:  $40.00 per person

Billing Instructions:                               

      
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: