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2855 Briarcliff Road, NE
Atlanta, GA 30329-2501
PH:(404)636-1418
FAX: (404)636-4394
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How To Register
Last Name
First Name
Date of Birth
Gender
Male
Female
Marital Status
Single
Married
Separated
Divorced
If married, married by
Priest
Deacon
Please indicate which of the following Sacraments you have received:
Baptism
Catholic
RCIA
Reconciliation
First Eucharist/Communion
Confirmation
Address
Street
(Apt. Suite, Lot #)
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Email
Do you wish to receive the Georgia Bulletin Newspaper?
yes
no
Do you wish to receive mail?
yes
no
May we print your name and contact information in our parish directory?
yes
no
Primary Language
Occupation
Family Members Residing With You
Family Member #1
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #2
First Name
Last Name
Gender
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female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #3
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #4
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #5
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #6
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
Family Member #7
First Name
Last Name
Gender
Choose Option
female
male
Date of Birth
Relationship to you
Occupation
Employer/School
Special Needs
Grade
Baptized?
yes
no
First Communion?
yes
no
Confirmation?
yes
no
MINISTRY OPPORTUNITIES AT IMMACULATE HEART OF MARY
Please check all ministries that might be of interest to you
ADMINISTRATIVE
Parish Office Volunteer
Assist with bulk mailings
Help plan parish-wide events
ADVISORY COMMITTEES
Worship Committee
Stewardship Committee
LITURGY AND PRAYER
Altar, Church and Flower Care
Altar Servers
Altar Servers
Choirs/Ensembles/Cantors
Extraordinary Ministers of Holy Communion
Lectors
Liturgy of the Word for Children
Ministers of Hospitality
Ministry to the Sick and Homebound
Eucharistic Adoration
Wedding Guild
Stepping Stones/Grief Ministry
COMMUNITY: OUTREACH
AIDS Ministry
Crossroads Community Ministry (Soup Kitchen)
Nicholas House
St. Vincent de Paul
Mustard Seed Communities
COMMUNITY: SOCIAL CONCERNS
Pro-Life Committee
Social Justice Committee
COMMUNITY: FELLOWSHIP
Athletic Association
Bridge Groups
Creative Hands (Crafts for Charities)
55 & Over Ministry
Mother’s Group
Newcomers Welcome Committee
Nursery
Parish Breakfasts
Boy Scouts
Cub Scouts
Girls Scouts
Women’s Group
Sponsor Couple Ministry
Young Adult Ministry
Young Married’s Dinner Club
Men’s Group
Married Fellowship
TALENT BANK
(To be called upon throughout the year as needed)
Artist
Babysitter
Bake/Sandwiches
Calligraphy
Carpenter
Certified CPR Instructor
Cook/Chef
Doctor
Electrician
Estate Planner
Florist
Gardener
Gift Basket Maker
Graphic Design
Musician
Registered Nurse
Painter
Photographer
Police/Security Officer
Sewing/Embroidery
Sign Language Interpreter
Translator
Website skills
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