Catholic Parishes of Adams & Cheshire
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Catholic Parishes of Adams & Cheshire St. John Paul II Parish & St. Mary of the Assumption Parish 2022 Mass Intentions & Candles - Request Form To ensure fairness in the assignment of Mass Intention dates, we will use this form for all parishioners of both parishes to request Masses and Candles. If for some reason we are unable to fulfill your request, we will help give you alternative options. FRONT PAGE - Mass and candle booking instructions, requestor’s information, and payment details. BACK PAGE - Mass, candle, and cemetery lights request form. 1. Each family will be permitted to book ONE Mass during the first lottery (based on feedback, we will not be offering the Collective Intention as an option) 2. Mass intentions may only be for one person, a couple, or by naming the families Acceptable examples: John & Sally Smith -or- The Smith Family -or-Deceased Members of the Smith & Doe Families Unacceptable example (too many people): John Smith, Sally Doe, Mr. & Mrs. Brown, and Edward Jones 3. The first round of booking will take place in September of 2021 - forms must be returned by September 30th to be included - Masses may only be requested at your home parish during this month 4. Requested offering (applicable for all churches): Mass Intentions - $10 each - one Mass Candles - $10 each - one week Cemetery Lights - $30 each - one month NOTRE DAME CHURCH - ADAMS $10 each - checks made payable to St. John Paul II Parish Mass Intentions - Saturdays - 4:00 p.m. | Mondays - 8:00 a.m. | Tuesdays - 8:00 a.m. Candles - Altar Candles | Sanctuary Lamp | BVM Candle | SJP Relic Candle | St. Joseph Candle | Divine Mercy Candle ST. STANISLAUS KOSTKA MISSION CHURCH - ADAMS $10 each - checks made payable to St. John Paul II Parish Mass Intentions - Sundays - 8:00 a.m. Candles - Electric Lights | Sanctuary Lamp | BVM Candle | Sacred Heart of Jesus Candle ST. MARY OF THE ASSUMPTION CHURCH - CHESHIRE $10 each - checks made payable to St. Mary’s Mass Intentions - Sundays - 9:00 a.m. | Wednesdays - 6:00 p.m. | Thursdays - 8:00 a.m. | Fridays - 8:00 a.m. Candles - Altar Candles | Sanctuary Lamp YOUR (REQUESTOR) INFORMATION Name:____________________________________________________________________________ Phone #:______________________________ Mailing Address:_________________________________________________________________________________________________________ Email Address:______________________________________ PAYMENT DETAILS - Church Requests OFFICE USE ONLY Date received:______________ (checks made payable to the parish you are booking for) □ cash □ check #_________ Total # of Masses:___________ x $10.00 = _______________ □ requests recorded Total # of Candles:__________ x $10.00 = _______________ □ notification of dates sent TOTAL = _______________ Notes: □ cash □ check #____________ PAYMENT DETAILS - Cemetery Light Requests (checks made payable to St. Stanislaus Cemetery) Total # of Lights:___________ x $30.00 = ________________ TOTAL = _______________ □ cash □ check #____________ MASS, CANDLE, & CEMETERY LIGHTS FORM Catholic Parishes of Adams & Cheshire 2022 Mass Intentions & Candles - Request Form Please PRINT all responses clearly below. Mass intentions may only be for one person, a couple, or by naming the families Acceptable examples: John & Sally Smith -or- The Smith Family -or-Deceased Members of the Smith & Doe Families Unacceptable example (too many people): John Smith, Sally Doe, Mr. & Mrs. Brown, and Edward Jones NOTRE DAME CHURCH - ADAMS $10 each - checks made payable to St. John Paul II Parish Mass Intentions - Saturdays - 4:00 p.m. | Mondays - 8:00 a.m. | Tuesdays - 8:00 a.m. Candles - Altar Candles | Sanctuary Lamp | BVM Candle | SJP Relic Candle | St. Joseph Candle | Divine Mercy Candle ST. STANISLAUS KOSTKA MISSION CHURCH - ADAMS $10 each - checks made payable to St. John Paul II Parish Mass Intentions - Sundays - 8:00 a.m. Candles - Electric Lights | Sanctuary Lamp | BVM Candle | Sacred Heart of Jesus Candle ST. MARY OF THE ASSUMPTION CHURCH - CHESHIRE $10 each - checks made payable to St. Mary’s Mass Intentions - Sundays - 9:00 a.m. | Wednesdays - 6:00 p.m. | Thursdays - 8:00 a.m. | Fridays - 8:00 a.m. Candles - Altar Candles | Sanctuary Lamp MASS INTENTION REQUEST MASS INTENTION FOR REQUESTED BY PREFERRED MONTH LOCATION CANDLE MEMORIAL REQUEST CANDLE REQUEST FOR REQUESTED BY PREFERRED MONTH LOCATION & CANDLE NAME ST. STANISLAUS KOSTKA CEMETERY - ADAMS $30 each per month - checks made payable to St. Stanislaus Cemetery CEMETERY LIGHTS FOR REQUESTED BY MONTH TYPE OF LIGHT .