Please fill out the form below to register for the virtual & ecumenical Ash Wednesday service on February 17th.
Those who have completed this form by February 1st will have a small sample of the ashes blessed at the January 18th MLK Prayer Service mailed to the address provided so that our virtual Ash Wednesday service can feel slightly more tangible. The ashes carry the symbolic significance of our individual and communal commitment to live into the anti-racist institution we long to be at Santa Clara University.
Sign in to Google to save your progress. Learn more
Email *
Name *
Role at SCU *
Mailing Address
Anything you'd like to share with us? Special mailing instructions? Prayer intentions?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Santa Clara University. Report Abuse