'Healing Mass'
Celebration and Prayer
Name of Parish
*
Address for Event
*
Date & Time of Event
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Select all that are applicable
*
Mass - Time ____________
Eucharistic Adoration - Time _______________
Praise & Worship - Time ____________
Confession - Time _____________
Healing Service (Participants led in renunciation prayers & prayers for healing) - Time _______
Prayer Room (Prayer team prays with people asking for specific prayers) - Time _________
Blessed Salt Available to take home
Holy Water Available to take home
Other (explained)
Contact in Charge of the Event?
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Please list any other helpful information
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