Request to Attend Mass

This form is for the use of the Immaculate Conception Delta Parish office and the information collected will be protected and used for the purposes of assigning Mass times to registered families and individuals.

Please only fill in the form ONCE. Your name will be kept on the list every week.

Answer first REQUIRED Is this your first time filling in the Form? Do you need to change a previous request? Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Would you like to be added to our parish email list and receive current information about what's happening and upcoming events? Yes please! Thanks! I've already signed up via FlockNote. Not at this time thank you. But I do know now that I can sign up via the parish website if I change my mind.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Family Name REQUIRED

Enter your registered Surname

Please fill out this field. Please enter valid data.

Only those who are currently registered with Immaculate Conception Parish, Delta, will be eligible for Mass assignment. If you are not a registered parishioner but would like to be on the official parish list, please contact the parish office.
Parish office hours: 9:00am - 4:00pm, Mon.-Fri. (phone calls only)
Phone number: 604.591.2271
Email: info@icdeltaparish.ca

Are you a registered parishioner at Immaculate Conception Parish, Delta? REQUIRED

Before you can request to attend Mass, you must be a registered parishioner at Immaculate Conception Parish, Delta. To register, please contact the parish office at info@icdeltaparish.ca or by phone: 604-591-2271

Yes No, but please help me register No Please fill out this field.

If you answered No, you will need to Register with the Parish before your request can be considered. Once you have registered with the parish, you will need to return to this form and complete it.

Number of registered family members REQUIRED
Names need to be collected of everyone attending Mass for tracing purposes. Records will be kept in the Parish office until the Pandemic has cleared.
Please fill out this field.
Family Member Name 1
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 2
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 3
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 4
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 5
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 6
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 7
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 8
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 9
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team
Family Member Name 10
- Name REQUIRED Please fill out this field. Please enter valid data.
- Are you trained/regular volunteer in the following areas of service? (please check all that apply) Lectors Altar Servers Ushers
- Are you willing and able to serve in the following volunteer positions at Mass? (training will be provided)
  - Sanitization Team must be 13 years or older and may include wiping down pews and other surfaces.
  - Hospitality Team must be 19 years or older and will include greeting and signing in people at Mass
- Select all that apply Sanitization Team Hospitality Team

Mass Preference

Please list in order of preference the Mass(es) you would like to attend. As there is a very limited number of people allowed in the church at any Mass, we ask that you please list at least 3 preferences as this may increase your chance of being assigned to a Mass. (Note: You will only have an opportunity to attend ONE Mass per weekend you are assigned to.)
First Choice REQUIRED Please fill out this field.
Second Choice
Third Choice
Fourth Choice

If open to the public, are you also interested in attending a week day Mass? Yes No Maybe

I have read the Mass attendance guidelines.

I Agree Please select this field.

Immaculate Conception

Delta, BC

Request to Attend Mass

The parish is opening the doors to a limited amount of people for Mass!

IC Delta Guidelines for Attending Mass with a congregation

IC Delta Guidelines for Attending Mass with a congregation

Request to attend Mass

Please only fill in the form ONCE. Your name will be kept on the list every week.