Request Form for Incoming Priests, Deacons, Religious and/or Speakers

REQUEST FORM FOR INCOMING PRIESTS, DEACONS, RELIGIOUS AND/OR SPEAKERS
Please use this form for incoming Priests, Deacons, Religious or Speakers for any substitutes, sacraments, parish missions, retreats, workshops, etc. Any time a Priest, Deacon or Speaker NOT affiliated with the Fort Worth Diocese celebrates a sacrament or gives a presentation on Church property or on behalf of the Church, it is appropriate to use this form.
PARISH OR DIOCESAN INSTITUTION REQUESTING THE SPEAKER
Parish/Institution Name
Parish/Institution contact person
Phone Number
Format: (000) 000-0000.
Email
Event Start Date

MonthDayYear
Event End Date

MonthDayYear
Date
Event Description (retreat, conference, etc.)
SPEAKER INFORMATION
The Person name below is
This Person will be
This Person will be working with children?
This Priest/Deacon will be the Main Celebrant of a Sacrament (Mass, baptism, marriage, etc.)
Name of incoming Priest/Deacon/Speaker
Address
(Please enter Street Address, City, State, Zip Code)
Phone
Format: (000) 000-0000.
Email
Website
From what Diocese/Religious Institution/ Employment
Contact Person (Diocese, Religious Superior, etc.)
Address
(Please enter Street Address, City, State, Zip Code)
Phone Number
Format: (000) 000-0000.
Email
DIOCESAN USE ONLY
Date received

Notified by (date)

Approved By

Director of Catechesis - Yes No

Name

Approved By

Chancery Department - Yes No

Name & Title
Should be Empty:

REQUEST FORM FOR INCOMING PRIESTS, DEACONS, RELIGIOUS AND/OR SPEAKERS