| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Volunteer Opportunities: |
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| Social Committee: |
I would like to help with the weekly socials (every Tues, 3-4pm) |
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I will be available at Chautauqua to help (Please list dates available below) |
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| Liturgy Committee: |
I am a Eucharistic Minister at my home parish and would be willing to serve as a Eucharistic Minister at Chautauqua. For ease of scheduling please indicate above your weeks of attendance. |
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I am a Lector at my home parish and would be willing to serve as a Lector at Chautauqua. For ease of scheduling please indicate above your weeks of attendance. |
| Memorial Mass: |
Please include the following names for remembrance at the opening Masses (Please list names in the box below). |
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