If you would like to register at IHM please fill out the form below and click the submit button.
Tip: you can use the tab key to advance from one field to the next.
(Please don't forget to click the
Submit
button below.)
Family Mailing Address:
City/State/Zip:
Family Home Phone:
Head of Household
Name:
Birth date:
Email:
Cell Phone:
Gender:
M
F
Marital status:
Church
Civil
None
Sacraments:
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
Spouse
Name
Birth date:
Email:
Cell Phone:
Gender:
M
F
Sacraments:
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
Dependent Children
Name
Gender
Birth Date
Sacraments
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
M
F
Baptized?
Reconciliation?
1
st
Eucharist?
Confirmed?
Envelopes?
Previous Parish:
City/State:
Comments:
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