Name of the Sick Person

Your Full Name

Your Email Address

Your Phone Number

Confirm Parishoner Confirm Parishoner This sick list should only include the names of current or former St Peter’s parishioners (a parishioner is anyone who lives within the Bromsgrove parish boundaries, or who attends Mass here, not necessarily a Catholic). Please tick to confirm that the person named is a current or former parishioner of St Peter’s. Confirm

Confirm Confirm Please tick to confirm you have received the verbal consent of the named sick person to be included on the parish sick list, and that they understand that the sick list is publicised in our parish newsletter, which is available in church and on our parish website. Confirm