St. Michael St. Rose Parish Registration
We are glad you are here! To register at our parish, please fill out the form as well as possible. If you are unsure of dates of sacraments, fill out what you can and the missing info can be looked into later.
Email *
Parish Registration *
Family Last Name *
Languages Spoken (Check All That Apply) *
Required
Street Address *
City *
State
Zip Code
Phone Number
Head of Household Name *
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Religion
Clear selection
Marital Status *
Date of Marriage (If Applicable)
MM
/
DD
/
YYYY
Sacraments Received
Date of Baptism (If Applicable)
MM
/
DD
/
YYYY
Date of First Communion (If Applicable)
MM
/
DD
/
YYYY
Date of Confirmation (If Applicable)
MM
/
DD
/
YYYY
Do you have any dependents
Clear selection
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