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- Parish Membership Registration
  
  To register, please fill out and submit the parish membership form below. Our parish secretary will send confirmation once your registration has been processed. If you have any questions, please call our parish secretary.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Personal Information
  
  Preferred Title
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix
  
  Goes By / Nickname Please enter valid data.
  
  Date of Birth REQUIRED
  Ex. 01/01/1901
  Please fill out this field. Please enter a date.
  
  Marital Status
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Alternate Phone Maximum 20 characters Please enter a phone number.
  
  Primary Address
  
  Street REQUIRED
  Street Number & Street Name
  Please fill out this field. Please enter valid data.
  
  Street (continued)
  Apt, Suite or Unit
  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.
  
  Subdivision or Residential Community Please enter valid data.
  
  The above address is the way your envelopes will appear.
  
  Alternate Address
  
  Street
  Street Number & Street Name
  Please enter valid data.
  
  Street (continued)
  Apt, Suite or Unit
  Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Do you have any school-aged children? If so, which schools do they attend? Please enter valid data.
  
  Would you like to receive envelopes? REQUIRED Please fill out this field.
  
  Number of 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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  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.
  
  Sacraments Received Baptism First Communion Confirmation Marriage
  
  Submit

Saint Michael's Catholic Church

Coopersville, MI

Parish Membership Registration