Parish Registration

- About Us

Welcome to our parish community at Immaculate Heart of Mary in Belmont. You are invited to register in the parish. Please contact at the Parish Office at 650-593-6157 or email office@ihmbelmont.org. Thank you!
The maximum number of form submissions has been reached. This form is currently not available.
- Immaculate Heart of Mary
  Parish Registration Form
- Please note: We do not share or sell your contact information with any organization not affiliated with Immaculate Heart of Mary Church or Immaculate Heart of Mary School.
- Head of Household
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Registration Information REQUIRED New Registration Please send me contribution envelopes Please do not send me contribution envelopes Update to Existing Registration Please fill out this field.
- Other Family Members REQUIRED
  Enter additional number of family members
  Please fill out this field.
  
  Family Members 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Family Members 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (under 18)
  Please add birthdates of children under 18
  Please enter a date.
  
  Sacraments Received Baptism First Communion Confirmation
- Message
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.