The Immaculata Parish

Drop Shadow

Parish Registration

Our warmest welcome to all those who celebrate with us!

If you are not yet a registered member of our parish community and would like to be, please take a moment to fill out our on-line registration form. Registration forms are also available at the parish office and in the vestibule of the chuch. If you have any questions, please contact Jean Dolan, the parish secretary at 619-574-5700.

Personal Information:
Family Last Name:
Street Address:
Apt. No.:
City:
State:
Zip:
Home Phone:
Cell Phone:
Fax:
Email:
Marital Status:
Married by:
Individual Member Information:
Member 1
First Name:
Last Name:
Date of Birth:
Gender:
Religion:
Ethnic Origin:
Occupation or Grade Level:
Baptism:
Eucharist:
Confirmation:
Status:
Member 2
First Name:
Last Name:
Date of Birth:
Gender:
Religion:
Ethnic Origin:
Occupation or Grade Level:
Baptism:
Eucharist:
Confirmation:
Status:
Member 3
First Name:
Last Name:
Date of Birth:
Gender:
Religion:
Ethnic Origin:
Occupation or Grade Level:
Baptism:
Eucharist:
Confirmation:
Status:
Member 4
First Name:
Last Name:
Date of Birth:
Gender:
Religion:
Ethnic Origin:
Occupation or Grade Level:
Baptism:
Eucharist:
Confirmation:
Status:
Member 5
First Name:
Last Name:
Date of Birth:
Gender:
Religion:
Ethnic Origin:
Occupation or Grade Level:
Baptism:
Eucharist:
Confirmation:
Status:
Ministry Interest
Check all that apply:  

Please click Submit only once.

If you have any questions or concerns regarding this form, please call The Immaculata Parish Office at (619) 574-5700.