Register

The Holy Name of Jesus Catholic Community welcomes you!

Please complete the form below.  If you are interested in getting involved in one of our ministries, please complete our Volunteer for a Ministry Form.

Welcome to our Parish Community! (The information you provide on this census form will be exclusively used by the Church.)

Please be sure to enter ALL Sacramental information for each family member. Thank you!

Click here to edit

HEAD 1


ADDRESS


HEAD 2


ADDITIONAL HOUSEHOLD MEMBER INFORMATION (please only enter people who presently claim your address as permanent.) Any fields that do not apply leave blank. Please skip to the end to submit form.

FAMILY MEMBER 3


FAMILY MEMBER 4


FAMILY MEMBER 5

FAMILY MEMBER 6

 
 

Are You Still Working?

Your time to complete the form is about to expire due to inactivity. Please click "Continue Working" to complete the form and submit, otherwise your changes will be lost.

Your session will expire in 60 seconds.

Your session has expired

Your time to complete the form has expired due to inactivity. Please click the button below or refresh the page with your browser and try again.