Family Registration Form

Welcome to St Michael's On-line Registration Form. Please enter information below for all family members who live with you. It is not necessary to enter dates for the sacraments, but please check the box by all sacraments received by each member. Also, be sure to enter birthdates (mm/dd/yyyy) for all members. Once your registration has been received and assigned an ID number, you will receive an email with additional information. If you have any problems with the form, please call Dennis at 817-510-2722. Thank you!

When you submit this form, all of the information will be sent by e-mail to St. Michael's Church.

* Required fields

Head of Household

Title

* First Name

* Last Name

Suffix

Birth Date:

* Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Spouse

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Address

* Line 1

Line 2

* City

* State

* ZIP

E-Mail

Send E-Mail Instead of Mail When Possible

Phone

* Primary

( ) - Unlisted

Other

( ) - Unlisted

Member 1 - Type

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Member 2 - Type

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Member 3 - Type

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Member 4 - Type

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

Member 5 - Type

Title

First Name

Last Name

Suffix

Birth Date:

Gender: Female Male

Sacraments	Rcv	Date
Baptism
First Comm
Confirm
Penance

When you submit this form, all of the information will be sent by e-mail to St. Michael's Church.