___ I have moved recently into the St. Christopher territory ___ I would like to learn more about the Catholic Faith ___ I would like to discuss special topics with you, Father ___ I am interested in joining the parish membership ___ I want to return to the Catholic Church ___ I would like to be more involved in the church ___ I want to prepare my children for the sacraments ___ I want to get some help in tutoring my children in the faith ___ I am going to the hospital ___ I have not contacted you & I am a shut-in ___ I have a special prayer request ___ Other (describe) Name (please print:)______________________________________________________ Address___________________________________________________________________ __________________________________________________________________________ Phone: ___________________________________________________________________