St. Michael the Archangel Catholic Church
Parish Registration Form
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Date:
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Are you registering as a new parishioner or updating your information?
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Last name: *
Street Address: *
City, State & Zip: *
(optional) Native Language spoken at home?
Home Phone Number:
Would you like to receive Offertory envelopes: *
Man's First and Last Name:
Man's Occupation:
Man's Birth Date:
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Marital Status:
Religion:
E-mail Address:
Cell Phone Number:
Women's First and Last Name:
Occupation:
Birth Date:
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DD
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YYYY
Marital Status:
Religion
E-mail Address:
Cell Phone Number:
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