Facebook Instagram Flocknote YouTube

New Member Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Welcome to St. Michael the Archangel Catholic Parish! If you are new to the parish, or you just have not yet officially registered as a parish member, please complete the online registration form below.
  
  If you prefer, download the Registration Form , complete it and bring it or mail it to the Parish Office.
  
  Title (Mr. & Mrs., Mr., Mrs., Ms., Dr., Rank, etc) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 1 Please enter valid data.
  
  Street Address Line 2 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.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Employer (His) Please enter valid data.
  
  Occupation (His) Please enter valid data.
  
  Work Phone Number (His) Maximum 20 characters Please enter a phone number.
  
  Email (His) Please enter an email address.
  
  Employer (Hers) Please enter valid data.
  
  Occupation (Hers) Please enter valid data.
  
  Work Phone Number (Hers) Maximum 20 characters Please enter a phone number.
  
  Email (Hers) Please enter an email address.
  
  How would you like to tithe to the parish? REQUIRED Please fill out this field.
  
  Will anyone in your household be enrolled in Religious Education?
  
  If Yes, what grades? Please enter valid data.
  
  How many members are in your family/household REQUIRED Please fill out this field.
  
  First Name 1
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 2
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 3
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 4
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 5
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 6
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 7
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 8
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 9
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  First Name 10
  
  List your first name and the names of everyone living with you. List last name if different. (Not applicable to college roommates) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field.
  
  Date of Birth 1
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 2
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 3
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 4
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 5
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 6
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 7
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 8
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 9
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Date of Birth 10
  
  List Each person's date of birth (Month/Day/Year) Please enter a date.
  
  Relationship to Household REQUIRED Please fill out this field.
  
  Relationship to Household 1
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 2
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 3
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 4
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 5
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 6
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 7
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 8
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 9
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  Relationship to Household 10
  
  H-husband, W- wife, S-son, D-daughter, R-relative, NR- non-relative, SH- single head of household, SA-Single Adult Please enter valid data.
  
  List each person's gender REQUIRED Please fill out this field.
  
  List each person's gender 1
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 2
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 3
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 4
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 5
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 6
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 7
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 8
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 9
  
  M-male, F-female Please enter valid data.
  
  List each person's gender 10
  
  M-male, F-female Please enter valid data.
  
  Marital status of each member REQUIRED Please fill out this field.
  
  Marital status of each member 1
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 2
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 3
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 4
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 5
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 6
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 7
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 8
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 9
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  Marital status of each member 10
  
  S-single, M-married, W-widowed, SP- separated, D-divorced Please enter valid data.
  
  List each member's religious affiliation REQUIRED Please fill out this field.
  
  Religious Affiliation 1
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 2
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 3
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 4
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 5
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 6
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 7
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 8
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 9
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  Religious Affiliation 10
  
  Ca- Catholic, Me- Methodist, Lu- Lutheran, Pr- Presbyterian, Ox-Orthodox, Pe-Pentecostal, Je-Jewish, Bp-Baptist, Ep-Episcopal, CC-Church of Christ, EV- Evangelical, Nr- No Religion, Other- please specify Please enter valid data.
  
  List each member's sacraments received. REQUIRED Please fill out this field.
  
  List each member's sacraments received. 1
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 2
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 3
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 4
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 5
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 6
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 7
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 8
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 9
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  List each member's sacraments received. 10
  
  B- Baptism, P-Penance, F-First Communion, C-Confirmation, M-Marriage, H-Holy Orders Please enter valid data.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.