Magazine Subscription Form

Date

Family Last Name

New or Updating Family Information

New (fill in all information and SUBMIT when completed)Updating (just fill in the areas to be updated. (ex. Phone, Address, etc.))

Would you like to receive emails from St. Michaels via flocknote:

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Would it be okay to share your contact information with the Welcoming committee

Yes - notification by mailNO, I do not want to be contacted.

Would you like to receive collection envelopes (or you can sign up for online giving through the website at stmichaels77.org):

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Mailing Information

Mailing Name (ex: Mr. & Mrs. John Smith)

Street Address

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Postal / Zip Code

Primary Phone Number

Area CodePhone Number

Primary Email

example@example.com

Are you a Winter Visitor?

YesNo

Name

First NameLast Name

MaleFemale

Family Role

Date of Birth

Cell Phone

Area CodePhone Number

Email

example@example.com

Sacrament Information

Was BaptizedReceived First Holy CommunionReceived ConfirmationHave not received one or all of the above Sacraments. I would like to receive information on how I may receive these sacraments. Please contact me via email about your RCIA Adult Religious Education program.

Faith of Baptism: Church of Baptism : City State

Marital Status: Date of Marriage Maiden Name:

Church Marriage Yes No Church of Marriage: City State

Spouse Name

First NameLast Name

MaleFemale

Family Role

Date of Birth

Cell Phone

Area CodePhone Number

Email

example@example.com

Sacrament Information

Was BaptizedReceived First Holy CommunionReceived ConfirmationHave not received one or all of the above Sacraments. I would like to receive information on how I may receive these sacraments. Please contact me via email about your RCIA Adult Religious Education program.

Faith of Baptism: Church of Baptism : City State

Marital Status: Date of Marriage Maiden Name:

Church Marriage Yes No Church of Marriage: City State

#1 Child Name

First NameLast Name

MaleFemale

Family Role

Date of Birth

Sacrament Information

Was BaptizedWas not Baptized. Would like to be contacted with information to have my child Baptized.Received First Holy CommunionReceived ConfirmationHave not received First Holy Communion or Confirmation. Would like to be contacted with information on how my child can receive these Sacraments.Would be interested in registering my child in the CCD Religious Education Program, please contact me.

Faith of Baptism: Church of Baptism : City State

#2 Child Name

First NameLast Name

MaleFemale

Family Role

Date of Birth

Sacrament Information

Was BaptizedWas not Baptized. Would like to be contacted with information to have my child Baptized.Received First Holy CommunionReceived ConfirmationHave not received First Holy Communion or Confirmation. Would like to be contacted with information on how my child can receive these Sacraments.Would be interested in registering my child in the CCD Religious Education Program, please contact me.

Faith of Baptism: Church of Baptism : City State

#3 Child Name

First NameLast Name

MaleFemale

Family Role

Date of Birth

Sacrament Information

Was BaptizedWas not Baptized. Would like to be contacted with information to have my child Baptized.Received First Holy CommunionReceived ConfirmationHave not received First Holy Communion or Confirmation. Would like to be contacted with information on how my child can receive these Sacraments.Would be interested in registering my child in the CCD Religious Education Program, please contact me.

Faith of Baptism: Church of Baptism : City State

If you have any questions or would like to be contacted please let us know: