IHM Family Registration Form

Welcome to Immaculate Heart of Mary! To Register Online, please fill out the information
 below to the best of your ability. Feel free to call us with any questions. Thank you and
 God Bless.
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Click Submit Form to send this information to Immaculate Heart of Mary Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
*Religion
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Date Place
  1st Comm Date Place
  Confirm Date Place
  Marriage Date Place
  Penance Date Place
Remarks

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Religion
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  1st Comm Received Date Place