St. Agatha ParisH

Milton ~ Quincy, MA

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Please fill out the form below to nominate a parishioner to serve on the Parish Pastoral Council. If you prefer to submit your nomination on paper, please click here to download a nomination form and return to the rectory by Sunday, May 5th. Nomination forms are also available at the entrances to the Upper Church. Thank you.
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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.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City/Town REQUIRED Please fill out this field. Please enter valid data.
- Please provide either nominee's phone number or email address so we may contact the nominee. Thank you.
- Phone Number Please enter valid data.
- Email Address Please enter valid data.
- Involvement in Parish Life now or in the past REQUIRED Please fill out this field.
- This is a self-nomination REQUIRED Yes No Please fill out this field.
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