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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.
  • Street 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.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Spouse's Phone Number Please enter a phone number.
  • Daily Mass Preference 8:00am 12:10pm
  • SERVICE & TALENT
    • Please type the name(s) of the currently active or interested family member(s) in the box below their desired ministry. When you are done, scroll down to the bottom and click "Submit."
    • Family's Prefered Mass Times - please check all that apply Daily Saturday 4:30 pm Sunday 8:00 am Sunday 9:30 am Sunday 11:15 am
    • Eucharistic Minister Please enter valid data.
    • Homebound Eucharistic Minister Please enter valid data.
    • Lector/ Reader Please enter valid data.
    • Altar Server Please enter valid data.
    • Usher Please enter valid data.
    • Greeter Please enter valid data.
    • Pianist/ Organist Please enter valid data.
    • Cantor Please enter valid data.
    • Choir Member Please enter valid data.
    • Parish Office Please enter valid data.
    • Pleack check all that apply Money Counting Office help/ Mailings Light Cleaning (ex. dusting the gathering space/church )
    • OUTREACH
    • Eucharistic Minister for Nursing Homes Please enter valid data.
    • Meals on Wheels Please enter valid data.
    • Marthas and Marys Please enter valid data.
  • EDUCATION
  • PREP (Parish Religious Education Program) Teacher/ Catechist Please enter valid data.
  • Check all that apply Grades K-6 Grades 7-8 Teachers Aid Sub for Teachers High School Youth Group, grades 9-12 Jr. High Youth Group, Grades 6-8
  • Other talents I/we are willing to share

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