Parish Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Religion Please enter valid data.

Status REQUIRED New Parishioner Updating Parishioner Information Please fill out this field.

Gender REQUIRED Male Female Please fill out this field.

Marital Status REQUIRED Single Married Separated Divorced Please fill out this field.

If married, married by priest or deacon? Yes No

Date of Marriage Please enter a date.

Sacraments Baptism Reconciliation First Communion Confirmation

Address REQUIRED Please fill out this field. Please enter valid data.

Apt./Suite/Lot Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Primary Phone REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Do you want to receive the Georgia Bulletin? REQUIRED Yes No Please fill out this field.

Do you want to be contacted via email? REQUIRED Yes No Please fill out this field.

May we print your contact information in our parish directory? REQUIRED Yes No Please fill out this field.

Primary Language Please enter valid data.

Occupation Please enter valid data.

Employer Please enter valid data.

Family Members Residing With You

Family Members REQUIRED Please fill out this field.
Family Member 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 9
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation
Family Member 10
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Relationship to You REQUIRED Please fill out this field. Please enter valid data.
- E-mail Address Please enter valid data.
- Occupation Please enter valid data.
- Employer/School Please enter valid data.
- Special Needs Please enter valid data.
- Grade Please enter valid data.
- Sacraments Baptism Reconciliation First Communion Confirmation

Ministry Opportunities at IHM
Please check all that might be of interest to you.

Administrative Parish Office Volunteer Assist with bulk mailings Help plan parish-wide events

Stewardship Stewardship Committee Newcomers Welcome Committee Living Your Strengths Financial Peace University