Mass and Adoration 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 or Adoration 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 10/4/20
	Week of 10/11/20
	Week of 10/18/20
	Week of 10/25/20
	Week of 11/1/20
	Week of 11/8/20

© 2017-2021 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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