Submit representatives for the Pandemic Memorial and Gratitude Service

"*" indicates required fields

Church*

Your Name*

First Last

Your Email*

Representative(s)

This service needs to represent the entire diocese, so every congregation will need to identify at least one parish representative to participate in the service. Please determine who will represent your parish.

How many people will represent your church?

More than 5 names: Submit ADDITIONAL names and emails to ccaprice@dioceseofnewark.org

1. Parish Representative Name

First Last

1. Parish Representative Email

2. Parish Representative Name

First Last

2. Parish Representative Email

3. Parish Representative Name

First Last

3. Parish Representative Email

4. Parish Representative Name

First Last

4. Parish Representative Email

5. Parish Representative Name

First Last

5. Parish Representative Email