Immaculate Heart of Mary
Parish and School

Burlington, Kentucky

A Roman Catholic Parish of the
Diocese of Covington

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Adult Faith Registration Form

- Faith Formation

The maximum number of form submissions has been reached. This form is currently not available.
- Use the form to register for an upcoming Adult Faith Session. Registration will add you to the "class list", and you will receive periodic e-mailed information such as "homework assignments", background information, class cancellation notices, etc.
  
  REGISTER FOR THE MASS (SEPT-OCT 2021)
- Contact Information
  
  We will use this Adult Faith Registration information to add your email to the class roster.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
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