Bergen Chapter Delegate Registration 2026-2027 Please complete the delegate registration so your council receives all communications and case information from the Chapter. Δ Step 1 of 9 11% PhoneThis field is for validation purposes and should be left unchanged.This is a: New Registration for 2026-2027 Updated Registration for 2026-2027 Who is Completing the Form?This is just to identify who submitted the entry. If there are any problems with the entries, the person submitting the information will be contacted.Completed by:(Required)Your E-Mail Address:(Required)A copy of the completed registration will be e-mailed to you for verification. Enter Email Confirm Email Council InformationCouncil:(Required)Select your council from the drop-down list.520: Madonna, Englewood1345: St. John, Dumont/Bergenfield1688: Regina, Rutherford1736: Ridgewood, Ridgewood1863: Coronation: Fort Lee2188: St. Thomas More, Westwood2229: E. G. Alberque, Sr., Ridgefield Park2355: Benedict XV, Cliffside Park2396: Lyndhurst, Lyndhurst2586: John F. Kennedy, Teaneck2842: Sacred Heart, Rochelle Park2853: St. Ann, Fair Lawn2861: St. Michael, Lodi3426: Our Lady Queen of Peace, Maywood3428: Queen of Peace, North Arlington3550: Archbishop Walsh, Palisades Park3644: Most Sacred Heart of Jesus, Wallington3679: Queen of Peace, Closter3814: St. Joseph, New Milford/Oradell3962: Rev. Patrick Pindar, Ramsey4486: Our Lady of Fatima, Park Ridge4524: St. Francis of Assisi, East Rutherford5015: Msgr. Eugene S. Burke, River Edge5427: Mother Seton, Township of Washington5819: Assumption, Emerson6033: Presentation, Upper Saddle River7041: St. Carlo Acutis, Hasbrouck Heights7647: St. Therese of Lisieux, Cresskill8982: Carmel, Leonia9021: Immaculate Conception, Norwood11889: St. Gabriel, Saddle River13678: St. Elizabeth of Hungary, Wyckoff14483: Our Lady of Victories, Harrington ParkCouncil Website (if the council doesn't have one, enter None.)(Required)Number of Council Delegates (cannot be less than 1)(Required)Please enter a number from 1 to 2.Number of Council Alternates(Required)Please enter a number from 0 to 2. Delegate 1There must be at least one delegate from the member council.Name(Required) First Middle Last Title:(Required)Is the delegate a Grand Knight, a Financial Secretary, or a council member? Grand Knight Financial Secretary Council Member Email:(Required) Enter Email Confirm Email Delegate 2Name First Middle Last Title:Is the delegate a Grand Knight, a Financial Secretary, or a council member? Grand Knight Financial Secretary Council Member Email: Enter Email Confirm Email Alternate 1Name First Middle Last Title:Is the alternate a Grand Knight, a Financial Secretary, or a council member? Grand Knight Financial Secretary Council Member Email: Enter Email Confirm Email Alternate 2Name First Middle Last Title:Is the alternate a Grand Knight, a Financial Secretary, or a council member? Grand Knight Financial Secretary Council Member Email: Enter Email Confirm Email Grand KnightName(Required) First Middle Last Telephone Number:Email Enter Email Confirm Email Financial SecretaryName(Required) First Middle Last Telephone Number:Email(Required) Enter Email Confirm Email CAPTCHA ValidationCAPTCHA
Please complete the delegate registration so your council receives all communications and case information from the Chapter.
Step 1 of 9