Parish Contact List

Please complete the below requested information.
Father Chris would like to have updated contact information to reach out to parishioners during these challenging times.
Your information will be kept in strictist confidence for pastoral use only.
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Any other SMM Parishioners in your household? Please list
- Do you have any special needs?
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St. Mary Magdalen Catholic Church