Clergy Sign-In Form

1
Full Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Mobile Number
Please enter a valid phone number.
4
Date and Time of Sign-In* This field is required.
Date
Day
Month
Year
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Hour
15
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Minutes
AM
AM
PM
5
Purpose of Visit* This field is required.
Please Select
Please Select
Celebrate weekday or weekend Mass
Concelebration of Mass
Sacrament of Penance
Baptisms
Marriage
Funerals
Liturgy of the Word
Special liturgies (Chrism-related parish liturgies, feast days, processions, pilgrimages).
6
Are you a priest of the Diocese of Wollongong?* This field is required.
YESNO
7
Do you have permission to minister today?
Yes
No
8
You have selected No so you will not be able to minister.

Please contact the General Manager of Lumen Christi Parish on 4211 0504.
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