Mass Intention Request Form

The Person Requesting Mass Intention

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What is the Type of Your Mass Intention Request?

Name of the Person or Event for Requested Mass Intention

First NameLast Name

What is the Day of Mass Intention Request That You Are Planning?

Date

What is the Time of Mass Intention Request That You Are Planning?

Hour Minutes

AM/PM Option

Would You Like to Announce This Intention?

Would You Like to Get a Reminder for the Planned Mass Intention?

Please Provide the List of Email Addresses That You Want to Get a Reminder

Name of the Recipient

First NameLast Name

Address of the Recipient

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The mass stipend is $10 per mass.

The stipend must be received before The Mass Intention is arranged. Please kindly mail the stipend or bring the stipend to the church office in an envelope written ''MASS INTENTION'' on it.

COVID-19 TERMS AND CONDITIONS

I agree not to visit the church for any of the services provided by the church if I have the symptoms of COVID-19.
I agree not to visit the church for any of the services provided by the church if I have been in contact with the infected person in the last 10 days.
I acknowledge the contagious nature of the COVID-19.
I have not traveled internationally within the last 14 days.
I acknowledge that the information that I have given is accurate and complete.