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매체생활피정 신청서
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성함(예: 최영민)
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세레명(예:베드로)
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생년월일(예:631015)
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전화번호(01031732665)
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오전반, 오후반 선택(예: 오전반, 오후반)
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e-mail 주소(
peterrchoe@gmail.com
)
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주소(예: 서울 마포구 성지1길 32-32)
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본당이름(예수회 성당)
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피정에 참여하시며 하고픈 말씀
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