Holy Name of Jesus Parishioner Registration Form Please fill out and return via email: hnsred@gmail.com or you can drop form off at the rectory. Family Name: ( Please print)__________________________________________ Mr. _____________________________________________________________ Mrs. ____________________________________________________________ Address: ___________________ City: _____________Zip _________________ Phone:________________________ Cell: ______________________________ Email:___________________________________________________________ Alternate Email:___________________________________________________ Family Information Please list all family members living in your home and their ages. Include any information you feel necessary to share here, or verbally with one of the priests or deacons. _________________________________________________________ Sacramental Life: I am a Catholic but have not received First Holy Communion___ Confirmation_____ I am not a Catholic but am interested in becoming one_______ Parish Activities: Our parish thrives on each member’s participation. Please check if you are interested in any of the activities listed below or identify any you are interested in but don’t see listed. ____Lector at Mass ____Choir ____Divorced /Remarried ____Usher at Mass ____Greeter at Mass ____Annulments ____Eucharistic Minister-Mass ____Altar Guild ____Prayer Groups ____ Bible Study ____Bereavement Group ____Men’s Group ____Blessed Mother’s Sodality ____School Parent’s Group _____Spiritual Book Club ____Drive Seniors ____Adult Retreats _____Parenting Groups ____Social Justice ____Learn about your faith _____Sacrament Study ____Days of Reconciliation ____Parish Welcome Committee _____Catholic Youth Org ____Sunday School Teacher/Aide/Volunteers ____Rite of Christian Initiation for Adults. _____Visiting the Homebound/sick/senior Citizens Do you have any talents or skills you would like to share?________________________ Send Envelopes _______ please check