Current Parishioner

Please complete the information below and let us know what updates you would like made to your IHM Parishioner record. Use the comments section to provide direction for Rectory Staff.

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 REQUIRED

Please note apartment number on your address, if it applies.

Please fill out this field. 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.

IHM Parishioner/Envelope Number REQUIRED Please fill out this field. Please enter an integer (number).

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Will you continue to be an IHM Parishioner Yes No, moving to another parish

Comment

Church of Immaculate Heart of Mary

Scarsdale, NY

Current Parishioner

Current IHM Parishioner Change of Information Form