Name:
Phone Number: (ex. (765)743-4652)
Home Address: (street)
(city, state zip)
E-Mail:

Relationship to St. Tom's:
  Student Parishioner:
    Status: 
  Resident Parishioner:
  Resident Parishioner (youth):
    Status: 

Ministries that you are currently involved in:
  Lector
  Eucharistic Minister
  Server
  Hospitality

Ministries that you would like to be involved in:
  Lector
  Eucharistic Minister
  Server
  Hospitality