IHM Registration

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:		Marital status:
Sacraments:	Baptized? Reconciliation? 1^st Eucharist? Confirmed?
Spouse
Name		Birth date:
Email:		Cell Phone:
Gender:
Sacraments:	Baptized? Reconciliation? 1^st Eucharist? Confirmed?

Dependent Children

Name	Gender	Birth Date	Sacraments
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?
			Baptized?	Reconciliation?	1^st Eucharist?	Confirmed?

Envelopes?
Previous Parish:
City/State:
Comments:

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