Chapter Checkout – Dead Theologians Society

To apply for a Chapter, this form must be completed by an authorized parish representative (i.e. Pastor, Priest, DRE or Youth Minister)

Membership Information

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General Information

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Parish Information

Parish Name

Parish Diocese

Parish Number of Families

Parish Phone

Parish Website

Parish Address 1

Parish Address 2

Parish City

Parish State

Parish Zip

Parish Country

Chapter Leader Information

Chapter Leader First Name

Chapter Leader Last Name

Chapter Leader Phone

Chapter Leader Email

Pastor Information

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Pastor Last Name

Pastor Phone

Pastor Email

Youth Minister Information

Youth Minister First Name

Youth Minister Last Name

Youth Minister Phone

Youth Minister Email

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