Immaculate Heart of Mary
Parish and School

Burlington, Kentucky

A Roman Catholic Parish of the Diocese of Covington

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.
- 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.
- THE MASS
  
  Meeting Room 1
  Time: January 9, 2019 through February 13, 2019 @ 10:40 AM REPEATS @ 7 PM
  Registration
  Cost: $25.00
  Deadline: 1/8/19
Submit