Our Lady of the Lake
catholic community

MOUND, MN

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Make a Pastoral Request

- Do you need to arrange a priest or layperson to visit your home, your loved one’s home, a sick or injured loved one in the hospital or nursing home or other care facility?
  You can arrange for a visit, a blessing, confession, eucharist , annointing, or other pastoral care here. Please fill out the form below and we will call to arrange the visit.
  Also, be sure to add a special prayer request for yourself or your loved one as well just contact Carla at 952-472-8204.
- This form is not accepting responses at this time.
  
  Please share the details of your requests for the visit including whether you prefer a priest, deacon, or layperson. Please also share any information you think we should know. REQUIRED Please fill out this field.
  
  Person for whom the pastoral care is needed
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  This location is a: Home Hospital Nursing Home Other Care Facility
  
  Your Contact Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Who would you like us to contact to schedule the visit? Please call me Please directly call the person needing the pastoral care Please call another person to schedule (you will be given the opportunity to add contact info when you click this option.)
  
  Submit
  
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