holyfamilyyakima.org

5315 tieton drive
yakima wa 98908
(509) 966-0830
(509) 965-1742 - Fax

Mass Schedule

*Each Family member must register separately.* Required fields are marked with an asterisk *
*First Name:
*Last Name:
*Maiden Name:
*Date of Birth:	e.g. 02/10/1989
*Home address:
*City:
*State:
*Zip:
*Phone:	e.g. 509-555-1212
Alternate Phone:	e.g. 509-555-1212
*E-mail:
*Please Check the Sacraments that you have received.	Baptism 1st Communion Confirmation
*Marital Status	Single Married Divorced Separated Widowed If Married, by whom were you Married? Priest Other
*Occupation:
Additional comments: None