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Pastoral Care Commission Form

Use this form to make an Inquiry or a Request for any of the following Pastoral Care ministries.

Or, use these links to e-mail a request for:
A Hospital Visit   A Prayer Request

Step 1. Select the service(s) your are requesting or inquiring about by clicking in the box next to the service name.
Prayer Chain
Card Ministry
Adopt-A-Family at Christmas
Care Committee
Transportation
Hospital Visitor
Stephen Ministers
The Order of St. Luke the Physician (OSL)
The Ministry of Lector
The Ministry of Lay Reader
The Ministry of Lay Eucharistic Minister
Step 2. Tell us if this request is for* you or for someone else. Then, give us your name* and either your phone number or* your e-mail address so we can contact you if we require more information to fulfill your request.
  This request is for*  me  someone else
  Your name:*
  Your phone number:* area code & number
  Your e-mail address:*
Step 3. Give us the name of the person requiring the service, if it is NOT you:
Name:
Step 4. Use the comments section to include any relevant information which is not already requested on this form.
 
   

 

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