Parishioner Registration

Parishioner Registration
Holy Family Catholic Church
919 NE 96th Street Kansas City, Mo., 64155 816-436-9200
Please fill out to the best of your ability. If information is not applicable, leave blank.

Family Name Date

Address City State Zip

Phone Your Family Email

May we publish contact information in parish directories and parish Guide Book? (Please select yes or no.)

Adult #1: Full Name Date of Birth (DOB)

Religion Occupation

Ethnicity Maiden Name

Please check which sacraments Adult #1 has received.

Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation

Adult #2: Full Name Date of Birth (DOB)

Religion Occupation

Ethnicity Maiden Name

Please check which sacraments Adult #2 has received.

Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation

Please check the following. *"Other Marriage" includes those from other faith denominations or civil ceremonies.

Marital Status: SingleCatholic Marriage*Other MarriageSeparatedDivorcedWidowed

Marriage Date Church City, State

List dependent children only. In our diocese, Catholics are expected to register with a parish in order to be eligible for sacraments such as marriage, baptism, etc. Adult, non-dependent children should be registered separately to establish eligibility for services. If an adult, non-dependent child attends Holy Family, ask him/her to register as a parishioner.

Child's Name Birthdate MaleFemale

Catholic BaptismNon-Catholic BaptismCommunionConfirmation


Child's Name Birthdate MaleFemale

Catholic BaptismNon-Catholic BaptismCommunionConfirmation


Child's Name Birthdate MaleFemale

Catholic BaptismNon-Catholic BaptismCommunionConfirmation


Child's Name Birthdate MaleFemale

Catholic BaptismNon-Catholic BaptismCommunionConfirmation


Child's Name Birthdate MaleFemale

Catholic BaptismNon-Catholic BaptismCommunionConfirmation


We celebrate. We grow. We live our faith.
© Holy Family Catholic Church