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  • General Scheduling information form

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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.
  • Phone REQUIRED Please fill out this field. Please enter a phone number.
  • cell/home REQUIRED Cell Home Please fill out this field.
  • Parents phone number is required if your are under 18 Please enter a phone number.
  • cell/home Cell Home
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY 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.
  • Parents email required if you are under 18 Please enter an email address.
  • Names of family members you would like linked to the same Mass preferences: Please enter valid data.
  • Mass Preferences - please choose all that apply Saturday 5:00 pm Sunday 7:30 pm Sunday 9:00 am Sunday 11:00 am
  • Ministries - please choose all that apply Altar Server Lector Extraordinary Minister of Holy Communion Extraordinary Minister of Holy Communion - Cup Usher Greeter Door Greeter Information Desk Parking Lot
  • Homebound Ministry Private Homes Assisted Living Facilities Hospital/Nursing Homes
  • Frequency of ministries REQUIRED Bi-weekly Monthly Please fill out this field.
  • Other information that would be helpful in your scheduling.

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