Extraordinary Ministers of Holy Communion

Sign Up Form

Please fill out the form below if you would like to become an Extraordinary Minister of Holy Communion.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mass Time Preference Saturday 5pm Mass Sunday 8:30 AM Mass Sunday 10:45 AM Mass Take Communion to the homebound
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Our Lady of the Chesapeake