Parish Registration Form - Online - St. Michael the Archangel

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.

Title REQUIRED Mr. Mrs. Ms. Dr. Please fill out this field.

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 Title REQUIRED Mr. Mrs. Ms. Dr. Please fill out this field.

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

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

Spouse's Sacrament Information

Saint Michael
the Archangel