Register in Our Parish — Holy Name of Mary

Register at Holy Name of Mary

Please fill out this form below if you’d like to join our parish!

Looking to update your existing registration information instead? Click Here.

Head of Household

First Name

Last Name

Phone

(###)

###

####

Email

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Would you like to receive bi-monthly offertory envelopes

Yes

No

Spouse/Partner

First Name

Last Name

Phone

(###)

###

####

Email

Date

MM

DD

YYYY

Indicate how many Children you are Registering

Child 1

Child 2

Child 3

Child 4

Child 5