St Michael Catholic Church Register Form

St Michael Catholic Church

Office of Religious Education

Student Information Form

PERSONAL INFORMATION:

Full Name: Last, First, M.I.:

Address: Street, City, Zip Code

Home Phone:

E-mail Address:

Grade in school year 2007-2008:

Birth Date:

Place of Birth:

Mother’s Name:

Father’s Name:

Parent Work Phone:

Cell Phone Number:

Sacrament Information:

Baptism Date:

1st Communion Date:

Confirmation Date:

Godparent(s):

Emergency Contact Information:

Parent/Guardian Name: Last, First, M.I.:

Parent/Guardian Address: Street, City, Zip Code

Primary Home Phone:

Alternate Phone Number:

Relationship: