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Parishioner Registration Form

- About

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- Welcome to St. Michael's Parish in Hudson, MA.
  
  Please provide the information requested below to register with our parish community.
- Basic Information
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Registrants First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Registrants Date of Birth Please enter a date.
  
  Registrants Email Address Please enter valid data.
  
  Primary Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Phone Please enter valid data.
  
  Primary Language REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
- Mailing Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  Apartment # Please enter valid data.
  
  PO Box Please enter valid data.
  
  City/Town REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  ZIP Code REQUIRED Please fill out this field. Please enter valid data.
- Spouse Information
  
  If married please provide your spouses information
  
  Spouse Last Name Please enter valid data.
  
  Spouse First Name Please enter valid data.
  
  Spouse Date of Birth Please enter a date.
  
  Spouse Email Address Please enter valid data.
  
  Spouse Primary Phone Please enter valid data.
  
  Spouse Secondary Phone Please enter valid data.
  
  Spouse Primary Language REQUIRED Please fill out this field.
- Communications
  
  Contact You REQUIRED
  Would you like a parish staff member to contact you soon?
  Please fill out this field.
  
  Receive Postal Mail REQUIRED
  Do you wish to receive occasional postal mailings?
  Please fill out this field.
  
  Receive Offertory Envelopes REQUIRED
  Do you wish to receive offertory envelopes?
  Please fill out this field.
  
  Envelope Number Please enter valid data.
  
  Homebound Visitation REQUIRED
  Do members of your family wish to be visited at home?
  Please fill out this field.
- Registrants Sacramental Information
  
  Church/Town of Baptism Please enter valid data.
  
  Year of Baptism Please enter valid data.
  
  Church/Town of First Communion Please enter valid data.
  
  Year of First Communion Please enter valid data.
  
  Church/Town of Confirmation Please enter valid data.
  
  Year of Confirmation Please enter valid data.
  
  Church/Town of Marriage Please enter valid data.
  
  Year of Marriage Please enter valid data.
- Spouses Sacramental Information
  
  If married please provide spouses sacramental information
  
  Spouses Church/Town of Baptism Please enter valid data.
  
  Spouses Year of Baptism Please enter valid data.
  
  Spouses Church/Town of First Communion Please enter valid data.
  
  Spouses Year of First Communion Please enter valid data.
  
  Spouses Church/Town of Confirmation Please enter valid data.
  
  Spouses Year of Confirmation Please enter valid data.
- Dependent Child #1 Information
  
  If you have dependent children please enter the information for the first child
  
  Child #1 First name Please enter valid data.
  
  Child #1 Last Name Please enter valid data.
  
  Child #1 Date of Birth Please enter a date.
  
  Child #1 Gender
  
  Child #1 School Grade
  
  Child #1 Church/Town of Baptism Please enter valid data.
  
  Child #1 Year of Baptism Please enter valid data.
  
  Child #1 Church/Town of First Communion Please enter valid data.
  
  Child #1 Year of First Communion Please enter valid data.
  
  Child #1 Church/Town of Confirmation Please enter valid data.
  
  Child #1 Year of Confirmation Please enter valid data.
- Dependent Child #2 Information
  
  If you have dependent children please enter the information for the second child
  
  Child #2 First name Please enter valid data.
  
  Child #2 Last Name Please enter valid data.
  
  Child #2 Date of Birth Please enter a date.
  
  Child #2 Gender
  
  Child #2 School Grade
  
  Child #2 Church/Town of Baptism Please enter valid data.
  
  Child #2 Year of Baptism Please enter valid data.
  
  Child #2 Church/Town of First Communion Please enter valid data.
  
  Child #2 Year of First Communion Please enter valid data.
  
  Child #2 Church/Town of Confirmation Please enter valid data.
  
  Child #2 Year of Confirmation Please enter valid data.
- Dependent Child #3 Information
  
  If you have dependent children please enter the information for the third child
  
  Child #3 First name Please enter valid data.
  
  Child #3 Last Name Please enter valid data.
  
  Child #3 Date of Birth Please enter a date.
  
  Child #3 Gender
  
  Child #3 School Grade
  
  Child #3 Church/Town of Baptism Please enter valid data.
  
  Child #3 Year of Baptism Please enter valid data.
  
  Child #3 Church/Town of First Communion Please enter valid data.
  
  Child #3 Year of First Communion Please enter valid data.
  
  Child #3 Church/Town of Confirmation Please enter valid data.
  
  Child #3 Year of Confirmation Please enter valid data.
- Dependent Child #4 Information
  
  If you have dependent children please enter the information for the forth child
  
  Child #4 First name Please enter valid data.
  
  Child #4 Last Name Please enter valid data.
  
  Child #4 Date of Birth Please enter a date.
  
  Child #4 Gender
  
  Child #4 School Grade
  
  Child #4 Church/Town of Baptism Please enter valid data.
  
  Child #4 Year of Baptism Please enter valid data.
  
  Child #4 Church/Town of First Communion Please enter valid data.
  
  Child #4 Year of First Communion Please enter valid data.
  
  Child #4 Church/Town of Confirmation Please enter valid data.
  
  Child #4 Year of Confirmation Please enter valid data.
- Dependent Child #5 Information
  
  If you have dependent children please enter the information for the fifth child
  
  Child #5 First name Please enter valid data.
  
  Child #5 Last Name Please enter valid data.
  
  Child #5 Date of Birth Please enter a date.
  
  Child #5 Gender
  
  Child #5 School Grade
  
  Child #5 Church/Town of Baptism Please enter valid data.
  
  Child #5 Year of Baptism Please enter valid data.
  
  Child #5 Church/Town of First Communion Please enter valid data.
  
  Child #5 Year of First Communion Please enter valid data.
  
  Child #5 Church/Town of Confirmation Please enter valid data.
  
  Child #5 Year of Confirmation Please enter valid data.
  
  More Dependent Children REQUIRED
  If you have more children we will contact you for their information
  Please fill out this field.
- Additional Comments
  
  Comments
Submit

Saint Michael Parish

20 High Street
Hudson, MA
978-562-2552

Parishioner Registration Form