Sign Up and Comment Form

Holy Family Perpetual Adoration Chapel

Sign-Up and Comment Form

We hope this web site provides you with interesting and useful information on perpetual adoration in general and particularly at the Holy Family Adoration Chapel at Our Lady of Lourdes Parish in Raleigh.

This section enables you to begin the process to sign up for a regular adoration hour, change your hour, register as a substitute or request additional information. Your commitment as a regular adorer will not be effective until one of the perpetual adoration coordinators has contacted you and confirmed your hour.

We are also interested in receiving suggestions that will make this web site more useful.

Click on Submit button at the bottom of the form when ready to send.

Your name:

Your parish:

Your phone number, including area code:

Your email address:

Are you currently signed up for an hour at our chapel?
      Yes.
      No.

Have you ever visited our chapel?
      Yes.
      No.

Would you like to sign up for an hour of adoration?
      Yes, please phone me to determine a day and time.
      I would like further information. Please call.

If you would like to register as a substitute, indicate the time range(s) you would be available.
      Midnight to 6 am.
      6 am to noon.
      Noon to 6 pm.
      6 pm to midnight.

Would you like to receive periodic emails with chapel news?
      Yes.
      No.

Please use the room below for any questions or comments you may have regarding the Holy Family Perpetual Adoration Chapel or this web site. Thank you.

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