Join Us &lt;br /&gt; Parish Registration Form

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Head of Household
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Would you like to receive envelopes REQUIRED Yes No Please fill out this field.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received Baptism Confirmation First Communion
- Which church within our Parish do you attend? REQUIRED
  select the church you primarily attend
  St. Mary's Church St. Francis Xavier Church St. Augustine's Church St. Joseph's Church Sacred Heart Church St. Denis's Church Please fill out this field.
- List any Ministries you may be interested in Please enter valid data.
- Number of Additional Family Members REQUIRED Please fill out this field.
- Family Member 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 5
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 6
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 7
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 8
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 9
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 10
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 11
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
- Family Member 12
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Choose One REQUIRED Please fill out this field.
  - Sacraments Received Baptism Confirmation First Communion
Occasionally, the Pastoral Office has information about Parish-wide information, initiatives, events, and ministerial activities that we think may be of interest to our Parishioners. We would like your permission to share that information with you via the email indicated on your registration form. We promise not to share your information with anyone and not to "blow up" your email with unwanted information. You may opt-out of your original selection at any time by contacting the Pastoral Office.
I agree to receive email communications from the Pastoral Office. Please select this field.

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St. Michael Catholic Parish

The Central Maine, "Capital Region" Catholic Community

Join Us
Parish Registration Form

St. Michael Parish Registration Form

Join Us Parish Registration Form

Join Us
Parish Registration Form