St. Michael's Parish Registration

Please complete the registration below and include information on ALL members of your household.

Mailing Address: *

* required fields

City: *

State: *

Zip: *

Home Phone: *

May we welcome you to St. Michael's in the Parish Newsletter? Yes No

Adult Male of Household:

Last Name: *

First Name:

Middle Name:

Date of Birth: *

Religion: *

Status: *

Married Single Widower Other

Talents you are willing to share with the parish:

Education:
(highest level attained)

Occupation: *

Place of Employment: *

Work Phone:

Cell Phone:

Email Address:

Adult Female of Household

Last Name: *

First Name:

Middle Name:

Date of Birth: *

Religion: *

Status: *

Married Single Widower Other

Talents you are willing to share with the parish:

Education:
(highest level attained)

Occupation: *

Place of Employment: *

Work Phone:

Cell Phone:

Email Address:

Children at Home (Under 18)

Name

Sex

Date
of Birth

Grade

Religion

Sacraments
Celebrated

If baptized,
where?

Male
Female