The Daisy

Movement

(Adopt A Priest Program)

Registration Form

Name of the diocese:

Date of the creation of the Daisy:

Name of the organiser of the Daisy:

Priest: (name)

Address:  

City:

Telephone:

E-mail:

Birth date:

Date of ordination:

The seven Petals of the Daisy are:

SUNDAY: (name)

          Address:

          City:

          Telephone:

          E-mail:

MONDAY: (name)

          Address:

          City:

          Telephone:

          E-mail:

TUESDAY: (name)

          Address:

          City:

Telephone:

          E-mail:

WEDNESDAY: (name)

          Address:

          City:

          Telephone:

          E-mail:

THURSDAY: (name)

          Address:

          City:

          Telephone:

E-mail:

FRIDAY: (name)

          Address:

City:

          Telephone:

          E-mail:

SATURDAY: (name)

          Address:

          City:

          Telephone:

          E-mail:

NOTA BENE:

This Registration Form must be copied by the Daisy’s organiser nine (9) times:

one copy is to be sent to the diocesan registrar;

another copy is to be given to the adopted priest;

seven copies are to be distributed to each of the seven Petals.

The Daisy’s organiser will make sure that any change of address, phone number, death of a member, etc. will be forwarder to the diocesan registrar. Thank you.