Request Sacraments

If you are longing for the presence of God in your life through the sacraments, we will do all we can to respond with openness and compassion.

Request Sacraments

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SECTION 1 — Eligibility & Non-Negotiables

I understand the Mission does not pay stipends/salaries to clergy.

Yes

No

I understand that I may be asked to contribute to any costs involved (e.g. travel and other expenses.)

Yes

No

SECTION 2 — About You

First

Last

Preferred title

Email

Mobile/WhatsApp

Address

Address Line 1

Address Line 2

City

State

Zip

Country

Current denomination/church affiliation (this is for our information only.)

Roman Catholic

Anglican / Episcopal

Apostolic (African Initiated / Pentecostal Apostolic)

Baptist

Lutheran

Methodist

Non-denominational / Independent

Old/Independant Catholic

Orthodox (Eastern / Oriental)

Pentecostal / Charismatic

Not Christian (Buddhist, Hindu, Muslim, etc.)

Other

None

Prefer not to say

Which Sacraments do you wish to receive:

Baptism (You)

Baptism (Your Child)

Baptism (Your Family Member)

Confirmation (You)

Confirmation (Your Child)

Confirmation (Your Family Member)

Eucharist (You)

Eucharist (Your Family)

Reconciliation (You)

Reconciliation (Your Family)

Anointing of the Sick (You)

Anointing of the Sick (Your Family Member)

Marriage

SECTION 4 — Contact Preferences & Consent

Preferred contact method

Email

WhatsApp/Viber

Zoom

Anything else you’d like us to know?

I consent to have this website store my submitted information so they can respond to my inquiry

Signature (type your full name)

Date

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