Mass Request Form

Immaculate High School is proud to honor requests for Mass intentions. Memorial Mass or Special Intention Mass requests are available for a $10 donation. To schedule a Mass, please complete the form below. Once the Mass has been scheduled, a Mass card will be sent to the recipient's address from IHS and will indicate the designated date and time of the Mass. 


1. Person and/or group making request:

Contact Address (if Mass card is to be sent to person making request):

2. Who the Mass if for:

PaymentrequiredFor coordinating and celebrating the Mass.​​
For coordinating and celebrating the Mass.​​

Payment Information

Provide an email address for the receipt.
Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired