Join Holy Family Parish

Title Please enter valid data.

First and Middle Names Please enter valid data.

Last Name Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth Please enter a date.

Email REQUIRED Please fill out this field. Please enter an email address.

Religion Please enter valid data.

Father's first and last name Please enter valid data.

Mother's full (first and last) maiden name Please enter valid data.

Baptism (Church, City, State, MM/DD/YYYY, Performed by, Godparents)

Performed by refers to the priest that presided at your baptism. If only one Godparent, simply state "only" after their name.

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Reconciliation Preparation (Church, City, State) Please enter valid data.

First Communion (Church, City, State, MM/DD/YYYY) Please enter valid data.

Confirmation (Church, City, State, MM/DD/YYYY, Performed by, Confirmation Name

Performed by refers to the Bishop that presided at your confirmation.

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Occupation Please enter valid data.

Marital Status Please enter valid data.

The Merciful Love of Jesus Family of Parishes