The Daisy Movement
(Adopt A Priest Program)
REGISTRATION FORM
Name of diocese, state and country:
Date of the creation of the Daisy:
Name of the organiser of the Daisy:
PRIEST (name)
(street)
(town)
(phone)
(e-mail)
(birthday)
(ordination date)
THE SEVEN (7) PETALS or prayer partners
SUNDAY (name)
(street)
(town)
(phone)
(e-mail)
MONDAY (name)
(street)
(town)
(phone)
(e-mail)
TUESDAY (name)
(street)
(town)
(phone)
(e-mail)
WEDNESDAY (name)
(street)
(town)
(phone)
(e-mail)
THURSDAY (name)
(street)
(town)
(phone)
(e-mail)
FRIDAY (name)
(street)
(town)
(phone)
(e-mail)
SATURDAY (name)
(street)
(town)
(phone)
(e-mail)
This registration form is to be made out in nine (9) copies and to be distributed as follows:
one copy to the diocesan registrar (coordinator, moderator) for its official registration;
one copy to the adopted priest;
seven (7) copies, one to each of the seven petals of the Daisy.
Please forward changes and updates to the registrar (coordinator) of the diocese.