Lay Eucharistic Minister Information Request Form for St. Ann's Parish

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I would like to be contacted by a member of St. Ann's Parish about becoming a Lay Eucharistic Minister.
Name:
Phone number:	- - ext.
Or email address:
Preferred Mass:
Addt'l Mass (optional):
Please answer the following:
Yes No	I am a member of St. Ann's Parish
Yes No	I am in full Communion with the Catholic Church
Yes No	I am at least 18 years of age
Questions or comments? Best time to contact?	Questions or Comments?
Thank you for your interest! Your information will be sent directly to the Lay Eucharistic Ministry coordinator.