Become a Member

Membership of St Michael's

We're delighted that you have expressed interest in becoming a member of St Michael's.

Please fill out the membership form below

MAIN MEMBER INFORMATION

Name

First Name

Last Name

Title

Main members email

Cell Number

Main member's cell number

Work Number

Main member's work mumber

SPOUSE'S INFORMATION

Spouse's Name

First Name

Last Name

Title

Spouse's email

Cell Number

Spouse's cell number

Work Number

Spouse's work number

Information of CHILDREN LIVING AT HOME

Child 1

Name

First Name

Last Name

Date of Birth

YYYY

Child 2

Name

First Name

Last Name

Date of Birth

YYYY

Child 3

Name

First Name

Last Name

Date of Birth

YYYY

Child 4

First Name

Last Name

Date of Birth

YYYY

GENERAL INFORMATION

Physical Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number

Preferred Method of Communication

SMS