Mass Intention Request Form to request a Mass Intention CAPTCHAName(Required) First Last Phone(Required)Please provide the best phone we can use to reach you.Email(Required) Please provide an email address you monitor and respond to. If you do not have an email address, please put NONE.About Your Mass IntentionUse this section to tell us more about your Mass Intention request.First and Last Names of the person for whom the Mass intention is being requested(Required) Use this field to tell us who the Mass intention is for.Is this person deceased?(Required) Yes No Since this person is not deceased, please tell us more.(Required) Is it their birthday? Is it their Anniversary? Are they ill? Other Tell us more about why you are requesitng a Mass Intention for this person.Dates and TimesTell us the day and time you would like to have the Mass Intention. Remember, we cannot guarantee it is available and we will contact you to confirm.Choose a date for the Mass Intention(Required) MM slash DD slash YYYY Remember, we cannot guarantee the date you choose will be available. We will contact you to confirm the date.Choose a Mass Time 7:00 AM (Sundays ONLY) 8:00 AM (Monday – Saturday) 10:30 AM (Sunday ONLY) 12:30 PM (Sunday Spanish) 5:00 PM (Saturday or Sunday) 7:00 PM (Tuesdays Spanish) Select AllLet us know what time you prefer to have the Mass intention. Remember, we cannot guarantee the Mass time is available, and we will contact you to confirm the time of the Mass intention. You may choose more than one time.Who would you like the intention made in the name of?(Required) You can choose “loving family”, “a friend”, or use your name or family name.Would you like us to send a card or e-card to the family / person for whom the intention is being requested? Yes No Tell us if you want us to send a card or e-card.Give us the mailing address or email address you would like the card / e-card sent to, and any other relevant information we may need.DonationThe Church relies on your generosity to continue its mission. In this section you will be directed to make a secure online donation.Mass Intention(Required)$10.00 Mass Intention Donation$15.00 Mass Intention Donation$20.00 Mass Intention DonationI prefer to make my donation in the Church officeWhen you click submit, you will be directed to our secure online giving platform, Faith Direct to make your payment. We will contact you with details about your Mass Intention request.NameThis field is for validation purposes and should be left unchanged.