1. Holy Name of Jesus Parishioner Registration Form Please fill out and return via or you can drop form off at the rectory.
Family Name: ( Please print)__________________________________________
Mr. _____________________________________________________________
Mrs. ____________________________________________________________
Address: ___________________ City: _____________Zip _________________
Phone:________________________ Cell: ______________________________
___________________________________________________________
Alternate ___________________________________________________
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