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Register for HNJ-O

HNJ-Online Associate Membership Form
Welcome to the HNJ-O community! We welcome online visitors from near and far to join us for live-streamed daily and weekend Masses, online retreats and more! Please complete the registration form below to register as an Associate Member of HNJ Church Online so you can receive information about opportunities to particiate with our online community.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Are you a registered parishioner at Holy Name of Jesus Church? REQUIRED Yes No Please fill out this field.
- If no, please list the name of your registered church parish, including city and state.
- What is your religious affiliation? We welcome online members of all faiths! REQUIRED Catholic Christian (non-Catholic) Other Please fill out this field.
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