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2023 Deceased Members Mass Registration

Eternal rest grant unto our CDA sisters, O Lord.
And let the perpetual light shine upon them. May the souls of our faithfully departed members through the mercy of God rest in peace. Amen.
- A Memorial Mass will be celebrated on Friday, April 28, 2023, in memory of the CDA members who have entered eternal life since the 2021 Convention. To include your members in the 2023 Liturgy Program, register here. Please indicate the number of deceased members from your court below (the form will expand) and then include the name, date of death, and charter member status for each member.
  
  Deadline for submission is February 15, 2023.
  
  Questions: email Vivian Wolf, Chairman
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Court Name REQUIRED Please fill out this field. Please enter valid data.
  
  Court City REQUIRED Please fill out this field. Please enter valid data.
  
  Court Number REQUIRED Please fill out this field. Please enter valid data.
  
  District Number REQUIRED Please fill out this field. Please enter valid data.
  
  Regent
  
  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 REQUIRED Please fill out this field. 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Person Completing this Form
  
  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.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Number of Deceased Member REQUIRED Please fill out this field.
  
  Deceased Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
  Deceased Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Charter Member REQUIRED Yes No Please fill out this field.
  
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