JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Pieta Memorial Mass REGISTRATION CLOSED
** REGISTRATION FOR OUR MEMORIAL MASS IS CLOSED **
We will not be accepting any more names for this Memorial Mass as registration is closed.
Nonetheless you are welcome to join us for Mass - please
"WALK IN"
and be with us.
Friday 11th Nov 2022, 7.45pm
, at the
Church of the Holy Spirit
(Upper Thomson Road). Thank you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
Your answer
Name(s) of your Child/Children & Year of loss
eg. John Tan (2007), Jane R. (2010). If no name was given (eg unborn) please indicate or use initials if applicable.
*
Your answer
Your Relationship to Child/Children
*
Mother
Father
Other:
Your Email
*
Your answer
Your Mobile (or Phone)
*
Your answer
Your Parish (if applicable)
*
Your answer
Number of People attending Mass (including you)
(Nil reply required)
*
Your answer
To make the Mass special, we invite you to bring your own TEALIGHT HOLDER marked with your child/children's NAME on it. This will be lit
before mass begins
with tealight candles we provide.
Will you bring your own holder with your child/children's name on it?
*
Yes, I will bring my own tealight candle holder marked with my child/children's name
No, please light a candle for my child/children.
There will also be a Remembrance montage (slide presentation) during Mass, with the names of all children registered for the Mass. Do you wish to include your child's photo (if applicable) or a visual symbol of your choice? If
Yes, please email us the photo/symbol to pietamass@gmail.com
by 4th Nov
. (See sample below).
*
Yes, I wish to include my child's photo or visual symbol.
No, I do not wish to include a photo or any visual symbol.
PDPA Consent
*
I consent to the collection, use and disclosure of the above particulars by PIETA for the purpose of PIETA communications and events only.
Required
Mailing List - Do you wish to be kept on our Mailing List for future PIETA events or activities?
Yes, please.
No, thank you.
Clear selection
Comments or Remarks, if any
Your answer
Thank you and God bless!
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
