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*
Email*
Event Start Date*

MonthDayYear
Event End Date*

MonthDayYear
Date
Event Description (retreat, conference, etc.)*
SPEAKER INFORMATION
The Person name below is*

PriestDeaconReligiousLay Person
This Person will be*

SpeakingSubstitutingMusician
This Person will be working with children?*

YesNo
This Priest/Deacon will be the Main Celebrant of a Sacrament (Mass, baptism, marriage, etc.)*

YesNo
Name of incoming Priest/Deacon/Speaker*
Address*
(Please enter Street Address, City, State, Zip Code)
Phone*
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*
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