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Parishioner Information & Record Update
Family Information
Children under the age 18 information
Adult Children Living at Home/College
Ministry Interest/Involvement
Review
Family Information
Family Information
Required
Family Last Name:
*
Required
Head of Household First Name (name used for tax purposes):
*
Required
Address:
*
Required
City:
*
Required
State:
*
Required
Zip Code:
*
Required
Marital Status
Married
Single
Divorced
Widowed
*
Required
Spouse First Name:
*
Required
Spouse Last Name (if different)
*
Required
Was your marriage blessed by the Catholic Church?
Yes
No
*
Head of Household Info
Required
Cell Phone:
*
Required
Email Address:
*
Required
Birth Date:
*
Required
Baptism?
Yes
No
*
Required
Was your Baptism:
Catholic
Other
*
Required
Church, City and State of Baptism:
*
Required
Are you interested in becoming a Catholic?
Yes
No
*
Required
Catholic First Communion?
Yes
No
*
Required
Church, City and State of First Communion:
*
Required
Catholic Confirmation?
Yes
No
*
Required
Church, City and State of Confirmation:
*
Required
Are you interested in Adult Confirmation?
Yes
No
*
Required
Site and Date of Marriage:
*
Required
Did you graduate from IHM School?
Yes
No
*
Required
What year did you graduate from IHM?
*
Required
Did you attend IHM School but not graduate?
Yes
No
*
Required
If so, what year(s) did you attend?
*
Required
Where did you attend high school?
*
Required
Did you ever teach or work at IHM School?
Yes
No
*
Required
If so, what year(s) and in what position/grade level(s)?
*
Spouse Information
Required
Cell Phone:
*
Required
Please enter a valid email address with the format youraddress@yourdomain.
Email Address:
*
Required
Birth Date:
*
Required
Baptism?
Yes
No
*
Required
Was your Baptism:
Catholic
Other
*
Required
Are you interested in beoming a Catholic?
Yes
No
*
Required
Church, City and State of Baptism:
*
Required
Catholic First Communion?
Yes
No
*
Required
Church, City and State of First Communion:
*
Required
Catholic Confirmation?
Yes
No
*
Required
Church, City and State of Confirmation:
*
Required
Are you interested in Adult Confirmation?
Yes
No
*
Required
Did you graduate from IHM School?
Yes
No
*
Required
What year did you graduate from IHM?
*
Required
Did you attend IHM School but not graduate?
Yes
No
*
Required
If so, what year(s) did you attend?
*
Required
Where did you attend high school?
*
Required
Did you ever teach or work at IHM School?
Yes
No
*
Required
If so, what year(s) and in what position/grade level(s)?
*