Register for Mass - Sundays at 10:30 - Church of St. Timothy

Please complete information for each person in your household that will be coming to Mass at 10:30 on Sunday morning in the church, including children aged 2 and over.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Does the person use a wheelchair or walker? REQUIRED Yes No Please fill out this field.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Do you or does anyone in your party have a hearing impairment? REQUIRED Yes No Please fill out this field.

Does you or does anyone in your party have a visual impairment? REQUIRED Yes No Please fill out this field.

Number of additional household members REQUIRED
Please enter the number of additional household members who will be sitting with you at Mass.
Please fill out this field.
Additional household member 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No
Additional household member 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No
Additional household member 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No
Additional household member 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No
Additional household member 5
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No
Additional household member 6
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Does this person use a wheelchair or walker? Yes No

By registering for a seat at Mass you are agreeing that all household members will follow all policies as outlined by St. Tim's, including but not limited to: wearing a mask over your mouth and nose, refraining from singing, refraining from shaking hands, maintaining social distancing, being seated by an usher in a location chosen for you. Please note that St. Tim's is committed to accommodating visual, hearing, and mobility impairment needs as we plan our seating, and we are not able to accommodate special seating requests based on personal preference.

I Agree Please select this field.