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St. Michael the Archangel Catholic Church
Parish Registration Form (Nuevo Registro De Feligreses)
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* Indicates required question
Date (Fecha):
MM
/
DD
/
YYYY
Last name (Apellido):
*
Your answer
Street Address (Dirección) :
*
Your answer
Apartment/Unit Number (optional)
Your answer
City, State & Zip (Ciudad, Estado y Codigo Postal) :
*
Your answer
(optional) Native Language spoken at home ( (opcional) ¿Idioma nativo que se habla en casa) ?
Your answer
Home Phone Number (Número de teléfono de casa) :
Your answer
Would you like to receive Offertory envelopes (Le gustaría recibir sobres de Ofertorio) :
*
Choose
Weekly (Semanal)
Monthly (Mensual)
None, I give Electronically (Ninguna, doy electrónicamente)
Man's First and Last Name (Nombre y Apellido del Hombre) :
Your answer
Man's Occupation (Ocupación del Hombre) :
Your answer
Man's Birth Date (Fecha de Nacimiento del Hombre) :
MM
/
DD
/
YYYY
Marital Status (Estado Civil) :
Your answer
Religion (Religión) :
Your answer
E-mail Address (Correo Electrónico) :
Your answer
Cell Phone Number (Número Celular) :
Your answer
Women's First and Last Name (Nombre y Apellido de la Mujer) :
Your answer
Occupation (Ocupación de la Mujer) :
Your answer
Birth Date (Fecha de Nacimiento) :
MM
/
DD
/
YYYY
Marital Status (Estado Civil) :
Your answer
Religion (Religión) :
Your answer
E-mail Address (Dirección de correo electrónico) :
Your answer
Cell Phone Number (Numero de Celular) :
Your answer
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