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March for Life

- Youth Ministry

We invite you to join us to March for Life!

St. Bernadette Youth Ministry invites all parishioners to join us as we travel to Washington D.C. to participate in the annual March for Life on Friday, January 18, 2019.

The bus will depart St. Bernadette's at approximately 8:00 PM on Thursday, January 17, 2019 following Mass. We will then travel overnight to Washington, D.C. arriving early Friday morning. We will pariticipate in events that will be held either at the Verizon Center or the D.C. Armory followed by the rally on the Washington Mall and the March. The bus will then depart arriving back at St. Bernadette's around 1:00 AM on Saturday, January 19, 2019.

For complete details, please click here.

Cost for the trip is $100 per person.

If you plan on attending, please complete the registration form below. Online payment is accepted. If you choose to pay by check, please make checks payable to St. Bernadette Parish. All fees are non-refundable.

The following forms must be printed, signed and returned to the parish office. Click on the links below to print the forms.

1. Diocesan Release Form (Please select based on age of participant)
Adult Form (18 years of age and older)
Youth Form (Under 18 years of age)
2. Photo Release Form
Use of Image Waiver

The registration deadline is January 5, 2019.
March for Life Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- Number of People Attending REQUIRED Please fill out this field.
  
  Participant 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Parish Name and Town REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Participant 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Parish Name and Town REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Participant 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Parish Name and Town REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Participant 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Parish Name and Town REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Bus Fee$100.0
Total: $

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St. Bernadette Parish, Northborough, MA

Northborough, MA

March for Life

We invite you to join us to March for Life!

March for Life Registration Form