Please fill in the below information to receive the Blessed Sacrament
Surname
Christian Name
Address including post code

Street and Number

Town

State and Postcode

MOBILE Phone number,
Email address
Receiving Sacrament Would you like to receive the sacrament (Breads) Yes No
If you would like to receive the sacrament for you and your family

Number of hosts (breads) required

Please note that the Sacrament will be sent to you in the week preceding the service.

Help Finance Zoom Production No Possibly
200 Word
Bio

Please provide a 200 word background of yourself to help the group get to know you quicker. Please also send a photo (Head & Shoulders OK) via our email address. (homechurch@grassroots.com.au)

Any comments you may wish to make.
 
For donations, bank transfer details as follows
ANZ Bank
BSB: 015 259
Account: 3053 76236
Include your name in the 'Message' section.s

'Zoom' Home Mass - 2nd, 4th & 5th Sundays- 4.30pm SA - 5pm elsewhere
5th Sundays incorporate an extended "Cuppa and Chat"