Anniversary - Memorial - Thanksgiving

Mass Request Form

Families may request masses outside the regular parish schedules to celebrate an anniversary or in
Thanksgiving at Family gatherings. Please contact the office or the parish priest to confirm availability.

Person Requesting the celebration:

Name: ________________________________________________________________________

Phone #: _______________________________ Email: _________________________________

The purpose of mass being offered:

[ _ ] Death Anniversary [ _ ] Wedding Anniversary [ _ ] In Thanksgiving or Family Event

+++++++++++++++++++++++++

Name of the Deceased: _____________________________________________________

Name of the Couple: _____________________________________________________

Name of Event: _____________________________________________________

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Provide 3 possible **dates for your celebration in order of preference:

1. ________/________/________ Time: _______________________

2. ________/________/________ Time: _______________________

3. ________/________/________ Time: _______________________

**Parochial celebrations have preference in our calendar; thus, we cannot guarantee a celebration on a
requested date, however be assured that we will try our best to accommodate your preferred date and
time as best as we can.