Parish Events
Parish Events
About SMdP
Mass & Confession Times
Contact Us / Directions
Parish Staff
Parishioner Registration
Sacraments
Baptism
Reconciliation
Holy Eucharist
Confirmation
Matrimony
Holy Orders
Anointing of the Sick
Ministries/Service Groups
Ministry Handbook
Knights of Columbus
Liturgical Ministry
Religious Ed
Religious Ed Volunteer Sign-Up
Religious Education Staff
Religious Education Schedule Grades 1-11
Parent Resources
Becoming Catholic & Adult Ed
Children's Church & Youth Ministry
Lagniappe
Parish Bulletin
Bulletin Prayer Sick List
Documents & Forms
Catholic Links
Event Request
Photo Gallery
F.A.Q. on Religious Liberty
Online Giving
|||
Mass & Confession Times
Contact Us / Directions
Facebook
Search
Search
Parish Events
Parish Events
About SMdP
Mass & Confession Times
Contact Us / Directions
Parish Staff
Parishioner Registration
Sacraments
Baptism
Reconciliation
Holy Eucharist
Confirmation
Matrimony
Holy Orders
Anointing of the Sick
Ministries/Service Groups
Ministry Handbook
Knights of Columbus
Liturgical Ministry
Religious Ed
Religious Ed Volunteer Sign-Up
Religious Education Staff
Religious Education Schedule Grades 1-11
Parent Resources
Becoming Catholic & Adult Ed
Children's Church & Youth Ministry
Lagniappe
Parish Bulletin
Bulletin Prayer Sick List
Documents & Forms
Catholic Links
Event Request
Photo Gallery
F.A.Q. on Religious Liberty
Online Giving
Bulletin Prayer Sick List
Lagniappe
Parish Bulletin
Bulletin Prayer Sick List
Documents & Forms
Catholic Links
Event Request
Photo Gallery
F.A.Q. on Religious Liberty
Bulletin Prayer Sick List
The maximum number of form submissions has been reached. This form is currently not available.
Please enter the following information.
Church Bulletin Sick List Request Form
Names will be added/removed in church bulletin sick list for the upcoming weekend ONLY if submitted by MONDAY of that week. Names submitted after Monday, will be added/removed for the following weekend. PLEASE NOTE: All names will be automatically removed from the sick list after 3 months, unless office is notified. Please note if the person's illness is terminal.
Name to be added or removed?
REQUIRED
(Select One)
Add to Sick List
Remove from Sick List
Please fill out this field.
Name for Sick List
REQUIRED
Please fill out this field.
Telephone Number
REQUIRED
Please fill out this field.
Please enter valid data.
Are they Catholic?
REQUIRED
(Select One)
Yes
No
I don't know
Please fill out this field.
Are they a parishioner of SMdP?
REQUIRED
(Select One)
Yes
No
I don't know
Please fill out this field.
Do they wish to receive Communion?
None
Yes
No
I don't know
Nature of Illness/Notes
REQUIRED
Please fill out this field.
Requested by
REQUIRED
Please fill out this field.
Telephone Number
REQUIRED
Please fill out this field.
Please enter valid data.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.