Parish Registration Form - Online

- Welcome to St. Michael the Archangel Parish. We are happy that you have decided to join our community. In order to serve you and your family better, we ask you to register with our parish by filling out the registration form below; or you can print a copy of the registration form located on the next web-page, fill it out by hand, and mail or bring it to the Parish Office. Thank you and God bless.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Registration Type REQUIRED New Registration Update Current Registration Please fill out this field.
  
  Envelope Number Please enter valid data.
  
  Family DUID Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse's Full Name 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.
  
  Mailing Address (If different from above - Include Street, City, State, & Zip) Please enter valid data.
  
  Home Phone Number Please enter valid data.
  
  Cell Phone Number Please enter valid data.
  
  Spouse's Cell Phone Number Please enter valid data.
  
  Primary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Would you like to receive envelopes? Yes
  
  Would you like to participate in Online Giving (EFT)? Yes
  
  Emergency Contact Person - Third Party REQUIRED
  Third party name only, please
  Please fill out this field. Please enter valid data.
  
  Emergency Phone Number - Third Party REQUIRED Please fill out this field. Please enter valid data.
  
  Residency
  
  Are you a Seasonal Resident? REQUIRED Yes No Please fill out this field.
  
  Out of Town Start Date Please enter a date.
  
  Out of Town End Date Please enter a date.
  
  Marriage Information
  
  Marital Status Catholic Marriage Civil/Other Marriage Widowed Single Seperated Divorced Annuled
  
  Catholic Marriage Date Please enter a date.
  
  Civil/Other Marriage Date Please enter a date.
  
  Your Sacrament Information
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Spouse's Sacrament Information
  
  First Name Please enter valid data.
  
  Gender Male Female
  
  Birth Date Please enter a date.
  
  Religion Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism Yes No
  
  First Communion Yes No
  
  Confirmation Yes No
  
  Number of Dependent Children and/or Dependent Adults Living With You REQUIRED Please fill out this field.
  
  Dependents 1
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 2
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 3
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 4
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 5
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 6
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 7
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Dependents 8
  
  First Name (Plus last name if different) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Spoken Languages Please enter valid data.
  
  Occupation Please enter valid data.
  
  Sacraments Received
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Submit

Saint Michael
the Archangel

2281 State road 580, Clearwater, FL 33763

Parish Registration Form - Online