St. Michael St. Rose Parish Registration
Register for for parish. Please fill out form as well as possible. If you are unsure of dates of sacraments, you can submit them to us at a different time
Email address *
Parish Registration *
Family Last Name *
Your answer
Languages Spoken (Check All That Apply) *
Required
Street Address *
Your answer
City *
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Head of Household Name *
Your answer
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Religion
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
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