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Death Notification

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We are sorry for your loss.
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Please let us know of a parishioner or loved one who has passed, so that we can assist you in whatever ways we can AND so that we can update our records.
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- Person Submitting this Notification
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  What was your relationship to the deceased? REQUIRED Please fill out this field.
- The Deceased
  
  Full Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Deceased's Address Please enter valid data.
  
  Deceased's Family Member Contact (if not you) Please enter valid data.
  
  Deceased's Family Member Contact Phone Number (if not you) Maximum 20 characters Please enter a phone number.
- Is there any other information that may be helpful for us to know?
Submit

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