Mass Attendee Contact Information

Please note that the information that you provide will only be needed in the event that we learn that someone that has attended Mass has come down with the Coronavirus.
This allows us to then notify you.

Attendee(s)

Name

First Name*

Last Name*

Address

Street 1

Street 2

City

State

Zip

Phone

Required* --

E-mail

Mass Attended

List (Dropdown)

Required*

List (Dropdown)

If you attended both Sunday and a daily Mass you may select another Mass option here.

List (Dropdown)

If you attended both Sunday and a daily Mass you may select another Mass option here.

List (Multiple Choice)
Required*

	Week of 6/21/20
	Week of 6/28/20
	Week of 7/5/20
	Week of 7/12/20
	Week of 7/19/20
	Week of 7/26/20

© 2017-2020 Hingham Catholic
Resurrection • 1057 Main Street • Hingham, MA • 781-749-3577
St. Paul • 147 North Street • Hingham, MA • 781-749-0587

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