Welcome to Holy Name of Jesus Church! Visit our web site at www.holynameofjesus.com
 for more information.

Click Submit Form to send this information to Holy Name of Jesus.

*********** This web page works better with JavaScript enabled. ***********
To see how to enable JavaScript, please visit https://www.enable-javascript.com/

*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
  Middle Name   Nickname Maiden Name
  Birth Date *Gender Female   Male
  Religion   Language Marital Status
  Race
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date Place
   Baptism
   First Comm
   Confirm
   Marriage
Remarks    

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
  Birth Date   Gender Female   Male
  Religion   Language Marital Status
  Race
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date Place
   Baptism