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Mary Immaculate Church Registration
Please complete this form to register at our parish or update your information.
If you have questions or problems completing this form, please contact the office at
shmichurch@gmail.com
.
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* Indicates required question
Date:
*
MM
/
DD
/
YYYY
Physical Address (In case of emergency if a priest needs to get to your home.)
*
Your answer
Mailing Address
*
Your answer
Home Phone Number
Your answer
Family Email Address (We do NOT share our email list.)
Your answer
I would like our communication to be in the following manner...
*
Email (Email allows us to save money on envelopes and stamps. Be sure your email address is added to one of the email fields.)
US Mail
I would like to be considered a...
*
Full-time member of Mary Immaculate Church.
Summer member of Mary Immaculate Church.
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