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
Gender:

MaleFemale
Marital status

MarriedSingleWidowedDivorcedLiving common-lawEngaged
Maiden Last Name:
Date of Marriage

YearMonthDay
Date
Married in Catholic Church?

YesNo
Church/Place of Marriage:
Wedding Date

YearMonthDay
Date
Church/Place of Wedding:
Sacraments received:

BaptismReconciliation1st Holy CommunionConfirmation
Do you have children living at home?

YesNo
How many children do you have?

Expecting1234567Other
Due Date:

MonthDayYear
Date
Number of Children:
Do you own a business or work in the trades or professional/personal service industries (ex. lawyer, dentist, hairdresser, electrician etc.)?

YesNo
Would you like to advertise your business or offer your services to parishioners by advertising on our website/in our bulletin?

YesNo
Profession / occupation / trade
Indicate area(s) of gift/function/interest

Hospitality/WelcomingUsheringDecorChildren's ministryMusicSound system/TechFinance CouncilParish CouncilSmall Groups/Adult Faith FormationYouth MinistrySacramental Prep
Are you currently involved in ministry at IHMP?

YesNo
Would you like someone involved in the ministry area of interest you chose to contact you with more information on how you can get involved?

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
Same Address?

YesNo
Spouse's Address:

Street Address

Street Address Line 2

City Province

Postal Code
Birth Date:

MonthDayYear
Gender:

MaleFemale
Maiden Last Name:
Sacraments received:

BaptismReconciliation1st Holy CommunionConfirmation
Do you own a business or work in the trades or professional/personal service industries (ex. lawyer, dentist, hairdresser, electrician etc.)?

YesNo
Would you like to advertise your business or offer your services to parishioners by advertising on our website/in our bulletin?

YesNo
Profession / occupation / trade
Child #1

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #2

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #3

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #4

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #5

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #6

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

MonthDayYear
Date
Would you like our Baptism team to contact you?

YesNo
Other sacraments already received:

Reconciliation1st Holy CommunionConfirmation
Child #7

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:

MaleFemale
Baptized?

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

Immaculate Heart of Mary Parish Census Form