Theresian Interest Form

1. Default Section

 
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1. Your name:
2. Acadiana Area Theresians will not share this information with anyone.

What day of the week is good for you to meet?
3. What part of the day are you available to meet for 2 - 3 hours?
4. To which church/parish do you belong?
5. How many miles are you willing to travel to meet with your community once a month?
6. Do you have your own reliable transportation?
7. Please type your email address in the box below so we may contact you. Your email address will be kept confidential.
8. List alternate ways in which we may contact you.
9. Questions and/or comments:
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