Registration Page

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Surname

Date

Street Address

City

State

Zip

1st Head of Household - Marital Status

1st Head of Household - First Name

1st Head of Household - Last Name

1st Head of Household - Primary Phone Number

1st Head of Household - Additional Phone Number

1st Head of Household - Email Address

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Yes

No

1st Head of Household - Date of Birth

1st Head of Household - Sacraments Completed

Baptism

1st Communion

Confirmation

Additional Notes (If Applicable)

2nd Head of Household - Marital Status

2nd Head of Household - First Name

2nd Head of Household - Last Name

2nd Head of Household - Primary Phone Number

2nd Head of Household - Additional Phone Number

2nd Head of Household - Email Address

Sign Up for Flocknote? Flocknote is a communication software for churches and ministries that helps them send text messages and emails to connect with members.

Yes

No

2nd Head of Household - Date of Birth

2nd Head of Household - Sacraments Completed

Baptism

First Communion

Confirmation

Additional Notes (If Applicable)

1st Child - First Name

1st Child - Last Name

1st Child - Date of Birth

1st Child - Sacraments Completed

Baptism

1st Communion

Confirmation

Additional Notes (If Applicable)

2nd Child - First Name

2nd Child - Last Name

4th Household Member - Date of Birth

2nd Child - Sacraments Completed

Baptism

1st Communion

Confirmation

Additional Notes (If Applicable)

3rd Child - First Name

3rd Child - Last Name

3rd Child - Date of Birth

3rd Child - Sacraments Completed

Baptism

1st Communion

Confirmation

Additional Notes (If Applicable)

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Parish Registration Form

Parish Registration Form

3700 Canyon Road

Los Alamos, NM 87544

(505) 662-6193

ihm@ihmcc.org