Mass of Remembrance Registration

Please submit your loved ones first and last name below: REQUIRED Please fill out this field. Please enter valid data.

Birth Date REQUIRED Please fill out this field. Please enter a date.

Death Date REQUIRED Please fill out this field. Please enter a date.

Below is your information.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Would you like to be added to our email list for future Masses of Remembrance? Yes No

Do you want your loved ones name listed in the program? REQUIRED Yes No Please fill out this field.

Do you plan on attending the Mass of Remembrance this year? REQUIRED Yes No Please fill out this field.

Would you like to read or be a gift bearer? REQUIRED Yes No Please fill out this field.

Do you plan on attending the reception in Cathedral Center following the Mass? REQUIRED Yes No Please fill out this field.

If attending the reception, how many total people will be in your group?

Would you like a candle for your loved one this year? REQUIRED Yes No Please fill out this field.

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