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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Date: *
MM
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DD
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YYYY
Physical Address   (In case of emergency if a priest needs to get to your home.) *
Mailing Address *
Home Phone Number
Family Email Address  (We do NOT share our email list.)
I would like our communication to be in the following manner... *
I would like to be considered a... *
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