IHMP Census Form

Immaculate Heart of Mary Parish Census Form

We are updating our records! Please fill out the form below to help us get an accurate picture of who makes up IHMP!
Your Name:

First NameMiddle NameLast Name
Phone Number:
Format: (000) 000-0000.
E-mail
example@example.com
Address:

Street Address

Street Address Line 2

City Province

Postal Code
Birth Date:

MonthDayYear
MaleFemale
MarriedSingleWidowedDivorcedLiving common-lawEngaged
Maiden Last Name:
Date of Marriage

YearMonthDay
Date
YesNo
Church/Place of Marriage:
Wedding Date

YearMonthDay
Date
Church/Place of Wedding:
BaptismReconciliation1st Holy CommunionConfirmation
YesNo
Expecting1234567Other
Due Date:

MonthDayYear
Date
Number of Children:
YesNo
YesNo
Profession / occupation / trade
Hospitality/WelcomingUsheringDecorChildren's ministryMusicSound system/TechFinance CouncilParish CouncilSmall Groups/Adult Faith FormationYouth MinistrySacramental Prep
YesNo
YesNo
Spouse's Name:

First NameMiddle NameLast Name
Common Law Partner's Name:

First NameMiddle NameLast Name
Fiancé's Name:

First NameMiddle NameLast Name
Phone Number:
Format: (000) 000-0000.
E-mail
example@example.com
YesNo
Spouse's Address:

Street Address

Street Address Line 2

City Province

Postal Code
Birth Date:

MonthDayYear
MaleFemale
Maiden Last Name:
BaptismReconciliation1st Holy CommunionConfirmation
YesNo
YesNo
Profession / occupation / trade
Child #1

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #2

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #3

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #4

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #5

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #6

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Date of Baptism:

MonthDayYear
Date
YesNo
Reconciliation1st Holy CommunionConfirmation
Child #7

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
MaleFemale
YesNo
Church/Place of Baptism:
Church/Place of Baptism (if other):
Should be Empty:

Immaculate Heart of Mary Parish Census Form