| First Name: | |
| Last Name: | |
| Parish: | |
| You must choose one:: | Parish Contact - Email: Adult Catechumen (Baptism, Confirmation and Eucharist) Child Catechumen (not Baptized - Baptism, Confirmation and Eucharist) Adult Candidate (Full Communion - Confirmation and/or Eucharist) Adult Catholic (uncatechized/Baptized - Confirmation and/or Eucharist) Sponsor |
| Optional: | Person designated to call names of Candidates/Catechumens |
| 1st Preference Date: | You must choose one: Sun., Feb. 26, 2012 - 1:30 PM Sun., Feb. 26, 2012 - 3:30 PM Sun., Mar. 4, 2012 - 1:30 PM Sun., Mar. 4, 2012 - 3:30 PM |
| 2nd Preference Date: | You must choose one: Sun., Feb. 26, 2012 - 1:30 PM Sun., Feb. 26, 2012 - 3:30 PM Sun., Mar. 4, 2012 - 1:30 PM Sun., Mar. 4, 2012 - 3:30 PM |
| 3rd Preference Date: | You must choose one: Sun., Feb. 26, 2012 - 1:30 PM Sun., Feb. 26, 2012 - 3:30 PM Sun., Mar. 4, 2012 - 1:30 PM Sun., Mar 4, 2012 - 3:30 PM |
4th Preference Date: | You must choose one: Sun., Feb. 26, 2012 - 1:30 PM Sun., Feb. 26, 2012 - 3:30 PM Sun., Mar. 4, 2012 - 1:30 PM Sun., Mar. 4, 2012 - 3:30 PM |