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Future Expanded Adoration Hours Interest Survey

Our hope is to return to Perpetual Adoration (24/7) as soon as possible. Please fill out our survey here to help us plan for the future. Thank you!

Contact information may be used for follow-up Adoration correspondance but not for any other purporse.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Are you able to commit to a new or additional hour immediately? Yes No
- Are you open to committing to a new or additional hour in the near future (next 1-2 months or so)? Yes No Maybe
- If you are open to committing to a new or additional hour, which would be your preferred day(s) and time(s)?
- Comments
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