Parish Registration Form

St. Michael Catholic Church New Member Registration Form

Welcome! Please complete the form below and someone will be in touch with you soon.
Family Last Name
Today's Date

MonthDayYear
Date
Family Address

Street Address

Apt #

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Marital Status
HEAD OF HOUSEHOLD
Last, First, Middle
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work Number
Please enter a valid phone number.Format: (000) 000-0000.
Baptized?
First Communion?
Confirmed??
Attend Mass?
Talents/Interests
SPOUSE
Do you have a Spouse?
Last, First, Middle
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work/Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Baptized?
First Communion?
Confirmed??
Attend Mass?
Talents/Interests
SINGLE CHILDREN LIVING AT HOME
Do you have Children living at home?
First Child's Last, First, Middle Name
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work/Cell #
Baptized:
First Communion:
Confirmed:
Attend Mass:
School
Grade
Talents/Interests
Second Child's Last, First, Middle Name
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work/Cell #
Baptized:
First Communion:
Confirmed:
Attend Mass:
School
Grade
Talents/Interests
Third Child's Last, First, Middle Name
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work/Cell #
Baptized:
First Communion:
Confirmed:
Attend Mass:
School
Grade
Talents/Interests
Fourth Child's Last, First, Middle Name
Jr., Sr., etc.
Male or Female?
Religion
Birthdate

MonthDayYear
Date
Occupation
Work/Cell #
Baptized:
First Communion:
Confirmed:
Attend Mass:
School
Grade
Talents/Interests
Other Information
I've recently moved to the area from (Church, City, State): I have been attending another local Catholic Church, but feel drawn to St Michael's Iwas raised Catholic, but have been away from the Church for a while, and am coming back. I'm not Catholic but would like to become Catholic.
I have recently moved to the area:
If so, from where?
(Church, City, State)
I have been attending another local Catholic Church, but feel drawn to St. Michael:
I was raised Catholic, but have been away from the church for a while, and am coming back.:
I'm not Catholic but would like to become Catholic:
We are glad you are here! Thank you for providing your information and for choosing St Michael's as your parish home. We look forward to you joining us as we worship God, fortify the bonds of our parish family through service and fellowship, and encourage one another to strive for holiness of life on our pilgrimage to the heavenly Kingdom!
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St. Michael Catholic Church New Member Registration Form

HEAD OF HOUSEHOLD

SPOUSE

SINGLE CHILDREN LIVING AT HOME

Other Information