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Bulletin Prayer Sick List

- Lagniappe

Bulletin Prayer Sick List
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- 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 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 Please fill out this field.
  
  Are they a parishioner of SMdP? REQUIRED Please fill out this field.
  
  Do they wish to receive Communion?
  
  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.
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