CCA Speaker Weekend Request

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* 1. Parish Name

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* 2. Contact Name (to share with speaker)

Honorific

First Name

Last Name

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* 3. Contact Phone Number (to share with speaker)

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* 4. Contact Email Address (to share with speaker)

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* 5. Please list your weekend Mass times.

Saturday Mass Time(s)

Sunday Mass Time(s)

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* 6. Please provide a few weekends that would work to host a CCA speaker.

Weekend 1

Weekend 2

Weekend 3

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* 7. Is there someone you would like to request to speak at your parish? Please let us know their name.