Perpetual Adoration Sign-up for Specific Dates

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Complete this form to sign up for for up to 5 specific dates and times to spend an hour in silence with our Lord in the Blessed Sacrament.

Email *

first name

last name

phone

select the date you will be here to pray

YYYY

select the hour you will be here

Time

select a 2nd date you will be here to pray

YYYY

and the hour you will be here

Time

select a 3rd date you will be here to pray

YYYY

and the hour you will be here

Time

select a 4th date you will be here to pray

YYYY

and the hour you will be here

Time

select a 5th date you will be here to pray

YYYY

and the hour you will be here

Time

A copy of your responses will be emailed to the address you provided.

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