Holy Name Parishioner Registration
Please fill in all slots that apply to register as a parishioner. For assistance or to fill out a physical copy, please call the parish office at 303-781-6093.
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Address *
Your answer
City & Zip *
Your answer
Should we provide offertory envelopes? (online giving available)
Your answer
What is the best way to contact you?
Which Mass do you usually attend?
Would you like to receive a free archdiocesan newspaper?
Primary Language *
Head of Household Full Name (include preferred title i.e., Mr., Mrs., Dr.) *
Your answer
Date of Birth *
Your answer
Sex *
Religion *
Your answer
Occupation
Your answer
Sacramental Information *
Required
Contact Information (if different than above) Cell phone & Email
Your answer
Spouse Full Name (include preferred title i.e., Mr., Mrs., Dr.)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sex
Religion
Your answer
Occupation
Your answer
Sacramental Information
Contact Information (if different than above) Cell phone & Email
Your answer
Marital Status
Children Under the Age of 21 (Living at Home). Include Full Name, Date of Birth, Sex, & Sacraments Received for Each Child
Your answer
Parish Ministries: Check Boxes to Indicate Interest
Do you have any special needs you would like Holy Name to know about?
Your answer
Submit
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