Welcome to Holy Name of Jesus Parish in Kansas City, Kansas. Please visit our web
 site at www.holynameparishkck.org for more information.

Click Submit Form to send this information to Holy Name Faith Community.

*********** 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
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   Penance
   Deceased

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   Penance
   Deceased

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
   Penance
   Deceased


Click Submit Form to send this information to Holy Name Faith Community.

 ↻ 

*Enter the characters shown in the image