Welcome to Immaculate Heart of Mary Parish
If you would like to register at IHM, or update you registration information,
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?
1st Eucharist?
Confirmed?
Spouse
Name
Birth date:
Email:
Cell Phone:
Gender:
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?

Dependent Children
Name Gender Birth Date
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?
Baptized?
Reconciliation?
1st Eucharist?
Confirmed?

Envelopes?
Previous Parish:
City/State:
Comments:




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