Registration Form

OFFICIAL TITLE * Official title is required field. WEBSITE KNOWN AS MISSION STATEMENT STATUS Does your association have statutes?   Yes No  * If "Yes" please ensure the Episcopal Vicar for Lay Associations Bishop has a copy Please indicate your category of association: De facto association - an existing organization without statutes seeking recognition. Private association of the faithful - an organization with statutes already recognized by a bishop anywhere. Public association of the faithful - an existing organization with statutes with official recognition with a defined mandate. Your association is: Diocesan Pontifical Other CHARISM Advocacy and Promotion (If applicable, choose one or more items) Ecumenism Pro Life Social Justice Vocations Counselling Services Education & Formation (If applicable, choose one or more items) Catechesis Programs (RCIA, Sacraments) Family Life Programs (Marriage Enrichment, Singles, Engaged, Separated) Health Care / Life Issues (Family Planning, Sexuality) Other: Please Specify Outreach (If applicable, choose one or more items) Elderly Immigrants & Refugees Poor / Homeless Sick / Homebound Special Needs Youth and Children Prayer and Spirituality (If applicable, choose one or more items) Charismatic Conferences and Workshops Marian Devotion Other: Please Specify Retreat Experiences CHARITABLE STATUS Yes No  * If "Yes" please ensure the Episcopal Vicar for Lay Associations Bishop has a copy CONTACT INFORMATION Title: select Brother Deacon Friar His Eminence His Holiness Miss Most Rev. Mother Mr. Mrs. Ms. Rev. Rev. Mr. Rev. Msgr. Sr. Very Rev. Position in this Organization: * Position is required field. First Name: * First name is required field. Last Name: * Last name is required field. Street: * Street is required field. City: * City is required field. Province: * Province is required field. Postal Code: * Postal code is required field.   Email: * Invalid e-mail format. Phone: * Phone is required field.                                     Fax: